Individual
FELMOR AGATEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 RIVERPLACE BLVD, STE 620, JACKSONVILLE, FL 32207-9046
(904) 396-6620
(904) 396-6528
Mailing address
1200 RIVERPLACE BLVD, STE 620, JACKSONVILLE, FL 32207-9046
(904) 396-6620
(904) 396-6528
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME90632
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2777533-00
—
FL
Enumeration date
07/30/2006
Last updated
02/17/2014
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