Individual
VICTOR Y AGADZI
Active
Individual
VICTOR Y AGADZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME84601
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15923
BLUE SHIELD
FL
01
—
59169902
BLUE SHIELD
AL
01
—
59169905
BLUE SHIELD
AL
01
—
P00134548
PALMETTO GBA -RR MEDICARE
—
Enumeration date
05/12/2006
Last updated
07/08/2007
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