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Individual

JAMES AGNEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1355 37TH ST, SUITE 304, VERO BEACH, FL 32960-7321
(772) 794-1660
(772) 794-1661
Mailing address
1355 37TH ST, STE304, VERO BEACH, FL 32960-7321
(772) 794-1660
(772) 794-1661

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME89357
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16367
BCBS FL
FL
01
U4684Z
MEDICARE
FL
Enumeration date
08/03/2006
Last updated
06/20/2008
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