Individual
DR. AGNES G. DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
1370 13TH AVENUE, SUITE 119, JACKSONVILLE BEACH, FL 32250-3206
(904) 249-4994
(904) 249-2604
Mailing address
11945 SAN JOSE BLVD, BLDG 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0069602
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1817346
CIGNA
—
01
—
277501
AVMED
FL
01
—
35919
BCBS FL
—
01
—
7726223
AETNA
—
01
—
P00198232
RAILROAD MEDICARE
FL
Enumeration date
05/04/2006
Last updated
06/23/2011
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