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Individual

DR. ADAM WALKER BAGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2100 KINGSLEY AVE, ORANGE PARK, FL 32073-5130
(904) 276-0001
(904) 276-5333
Mailing address
2100 KINGSLEY AVE, ORANGE PARK, FL 32073-5130
(904) 276-0001
(904) 276-5333

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME123101
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01510416
RR MEDICARE
FL
Enumeration date
04/07/2010
Last updated
08/15/2025
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