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NPI Code Detail

MEDICARE: DR. TONY D'AGOSTINO DC PA

MEDICARE: DR. TONY D'AGOSTINO DC PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCH7971FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
153909ZOTHERFLINDIVIDUAL PTAN
2CH7971OTHERFLSTATE LICENSE NUMBER
3FB090AOTHERFLGROUP PTAN

General Provider Information

NPI Number : 1447545470
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. TONY D'AGOSTINO DC PA
Provider Business Mailing Address
First Line : 1338 DEL PRADO BLVD S STE 8
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-3714
Country : US
Telephone Number : 239-910-7182
Fax Number :
Provider Business Practice Location Address
First Line : 1338 DEL PRADO BLVD S STE 8
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-3714
Country : US
Telephone Number : 239-910-7182
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. ANTHONY D'AGOSTINO
Credential : D.C.
Telephone Number : 239-573-8918
Provider Enumeration Date : 06/17/2011
Last Update Date : 07/19/2011

Similar Medicare Providers

1912011305 — DR. ANTHONY GERALD D'AGOSTINO D.C., B.A.
Practice Location Address:
1338 DEL PRADO BLVD S STE 8
CAPE CORAL, FL
33990-3714
Practice Phone: 239-573-8918
Practice Fax: 239-573-8920
1942654157 — JOSHUA ECHELSON
Practice Location Address:
1338 DEL PRADO BLVD S STE F
CAPE CORAL, FL
33990-3714
Practice Phone: 239-823-3370
Practice Fax:
1881441517 — ATHLETIC RECOVERY SERVICES
Practice Location Address:
1338 DEL PRADO BLVD S STE F
CAPE CORAL, FL
33990-3714
Practice Phone: 239-823-3370
Practice Fax:
1962724740 — SCOMA CHIROPRACTIC,P.A.
Practice Location Address:
3714 DEL PRADO BLVD S
CAPE CORAL, FL
33904-7135
Practice Phone: 239-945-1717
Practice Fax: 239-945-1963
1720324585 — KATHLEEN MASTERSON
Practice Location Address:
3714 SW 12TH PL
CAPE CORAL, FL
33914-5115
Practice Phone: 239-220-0720
Practice Fax: 239-220-5525
1528305190 — MOBILE DIAGNOSTIC SERVICES, LLC
Practice Location Address:
3714 SW 12TH PL
CAPE CORAL, FL
33914-5115
Practice Phone: 239-220-0720
Practice Fax: 239-220-5525

Directions to “DR. TONY D'AGOSTINO DC PA ” Practice Location

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