Individual
DR. ANDREW SCOTT BAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
661 E ALTAMONTE DR, SUITE 315, ALTAMONTE SPRINGS, FL 32701-5105
(407) 339-3002
(407) 260-5039
Mailing address
661 E ALTAMONTE DR, SUITE 315, ALTAMONTE SPRINGS, FL 32701-5105
(407) 339-3002
(407) 260-5039
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME95484
FL
207R00000X
Internal Medicine Physician
ME 95484
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00386670
—
FL
01
—
11866028
CAQH
FL
01
—
1962588053
NPI
FL
Enumeration date
10/31/2006
Last updated
08/28/2014
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