Individual
GERARD B AGBULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 HICKORY ST, HRMC/HOSPITALIST PROGRAM, MELBOURNE, FL 32901-3224
(321) 434-1771
(321) 434-1775
Mailing address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 725-4500
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
FL-ME107948-A
NE
207R00000X
Internal Medicine Physician
ME107948
FL
208M00000X
Hospitalist Physician
272573
NY
208M00000X
Hospitalist Physician
Primary
ME107948
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002647600
—
FL
Enumeration date
08/11/2010
Last updated
07/21/2022
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