Aegle Group LLC
NPI #1053809574 in Lynn Haven, Florida
Provider Information
- NPI Number
- 1053809574
- Entity Type
- Organization
- Organization Name
- Aegle Group LLC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Apr 30, 2018
- Last Updated
- Oct 29, 2019
Practice Location
- Address
- 3003 S HIGHWAY 77 STE F
- City
- Lynn Haven
- State
- Florida
- ZIP Code
- 32444-5627
- Phone
- (850) 250-5757
Authorized Official
- Name
- MR. MICHAEL JOHN MACLAREN, MHHA
- Title
- PRESIDENT
- Phone
- (850) 250-5757
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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