Individual
MARCUS D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4742
(727) 688-1164
Mailing address
12489 LONGSTONE CT, NEW PORT RICHEY, FL 34655-7262
(727) 688-1164
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11019588
FL
367500000X
Certified Registered Nurse Anesthetist
RN9398906
FL
Other
Enumeration date
02/08/2022
Last updated
01/03/2023
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