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Individual

DR. RAYMOND TEWIF AGIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
43309 US HIGHWAY 19 N, TARPON SPRINGS, FL 34689-6221
(727) 943-3111
(727) 943-3334
Mailing address
43309 US HIGHWAY 19 N, TARPON SPRINGS, FL 34689-6221
(727) 943-3111
(727) 943-3334

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME23403
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
293706
AVMED
FL
01
29693
BCBS
FL
01
953239
CIGNA
FL
01
P00062538
RR MEDICARE
FL
Enumeration date
09/27/2005
Last updated
04/16/2008
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