Individual provider · NPI-1

Dr. Tadeja Agee, MD

Family Medicine · Lakeland, FL

NPI number1497922819
StatusActive
Last updated in NPPESJul 23, 2026

Details

NPI
1497922819
Entity type
Individual (NPI-1)
Name
Dr. Tadeja Agee
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
May 14, 2008
Certification date
Jul 23, 2026
Last updated
Jul 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineME117131FLYes
208600000X Surgery12345AZ

Practice location

1129 N Missouri Ave
Lakeland, FL 33805-4411

Phone 866-234-8534

Mailing address

47 5th St Nw
Winter Haven, FL 33881-4672

Phone 866-234-8534

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