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Eric Agboli

In Home Supportive Care in Tampa, FL. Individual provider (NPI-1).

NPI number1104335199
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1104335199
Entity type
Individual (NPI-1)
Name
Eric Agboli
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 22, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

8110 N Edison Ave
Tampa, FL 33604-2807

Phone 813-401-4986

Mailing address

8110 N Edison Ave
Tampa, FL 33604-2807

Phone 813-401-4986

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