Organization
HANI M AGRAMA, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANI M AGRAMA M.D. (PRESIDENT)
(321) 631-2277
Entity
Organization
Contact information
Practice address
1257 FLORIDA AVE S, ROCKLEDGE, FL 32955-2488
(321) 631-2277
(321) 631-2279
Mailing address
1257 FLORIDA AVE S, ROCKLEDGE, FL 32955-2488
(321) 631-2277
(321) 631-2279
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94772
BLUE SHIELD GROUP NUMBER
FL
Enumeration date
08/25/2005
Last updated
03/17/2011
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