Individual
DR. ANTHONY GERALD D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., B.A.
Contact information
Practice address
1338 DEL PRADO BLVD S STE 8, CAPE CORAL, FL 33990-3714
(239) 573-8918
(239) 573-8920
Mailing address
1338 DEL PRADO BLVD S STE 8, CAPE CORAL, FL 33990-3714
(239) 573-8918
(239) 573-8920
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 7971
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381333900
—
FL
01
—
53909
FL BCBS NUMBER
FL
01
—
53909Z
INDIVIDUAL PTAN
FL
01
—
CH 7971
FL LICENSE NUMBER
FL
01
—
FB090A
GROUP PTAN
FL
Enumeration date
08/19/2006
Last updated
07/19/2011
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