Individual
DR. PETER F AGNELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
FLORIDA ENT & ALLERGY, 3000 MEDICAL PARK DR. STE 200, TAMPA, FL 33613-4695
(813) 879-8045
(813) 978-3687
Mailing address
SELECT PHYSICIANS ALLIANCE, 10002 PRINCESS PALM AVE. STE 332, TAMPA, FL 33619-8327
(813) 571-7184
(813) 654-4695
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME0074316
FL
207Y00000X
Otolaryngology Physician
ME74316
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261351400
—
FL
Enumeration date
06/27/2005
Last updated
05/03/2019
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