Individual provider · NPI-1

John Arthur Agostinelli Sr., D.O.

Family Medicine · Plantation, FL

NPI number1154510758
StatusActive
Last updated in NPPESOct 18, 2007

Details

NPI
1154510758
Entity type
Individual (NPI-1)
Name
John Arthur Agostinelli Sr.
Credential
D.O.
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 18, 2007
Last updated
Oct 18, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineOS0001889FLYes

Practice location

461 Nw 131st Ave
Plantation, FL 33325-2217

Phone 954-452-0460

Mailing address

461 Nw 131st Ave
Plantation, FL 33325-2217

Phone 954-452-0460

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