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NPI Code Detail

MEDICARE: DR. MARIACLARA E BAGO DO

MEDICARE: DR. MARIACLARA E BAGO DO
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
1207Q00000XFamily Medicine Physician0S8749FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134101827
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIACLARA E BAGO DO
Provider Business Mailing Address
First Line : 1037 S STATE ROAD 7 STE 115
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-6139
Country : US
Telephone Number : 561-798-8300
Fax Number : 888-539-4756
Provider Business Practice Location Address
First Line : 1037 S STATE ROAD 7 STE 115
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-6139
Country : US
Telephone Number : 561-798-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2005
Last Update Date : 06/11/2026

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Directions to “ DR. MARIACLARA E BAGO DO” Practice Location

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