Individual
AMITESH AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 FRONTAGE RD UNIT F, CLERMONT, FL 34711-2447
(917) 543-3719
Mailing address
3810 S KANNER HWY APT 1428, STUART, FL 34994-4936
(917) 543-3719
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME126709
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME126709
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017653900
—
FL
01
—
HQQU5
FLORIDA BLUE
FL
Enumeration date
08/15/2010
Last updated
06/13/2025
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