Organization
JACOB K AGAMASU MD PA
Active
Organization
JACOB K AGAMASU MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB K AGAMASU MD (PRESIDENT)
(407) 804-9616
Entity
Organization
Contact information
Practice address
756 ELKCAM BLVD STE A, DELTONA, FL 32725-2646
(407) 804-9616
(407) 804-8331
Mailing address
731 STIRLING CENTER PL UNIT 1911, LAKE MARY, FL 32746-5209
(407) 804-9616
(407) 804-8331
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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