Individual
DR. HENRY E AGOSTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, NURSING HOME CARE UNIT, TAMPA, FL 33612-4745
(813) 972-2000
(813) 971-6394
Mailing address
5304 AMBROSE CT, TAMPA, FL 33647-1010
(813) 495-1986
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2021
MA
103T00000X
Psychologist
Primary
PY 5244
FL
Other
Enumeration date
08/30/2006
Last updated
01/16/2014
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