Organization
FLAGEL PEDIATRIC & FAMILY MEDICINE P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN D FLAGEL DO (OWNER/OPERATOR)
(941) 429-3545
Entity
Organization
Contact information
Practice address
2572 COMMERCE PARKWAY, NORTH PORT, FL 34289
(941) 429-3545
(941) 429-3546
Mailing address
2572 COMMERCE PARKWAY, NORTH PORT, FL 34289
(941) 429-3545
(941) 429-3546
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME 107190
FL
261QP2300X
Primary Care Clinic/Center
OS 10992
FL
Other
Enumeration date
08/17/2010
Last updated
03/28/2017
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