DR. Agnes Idicula
NPI #1568464824 in Weeki Wachee, Florida
Provider Information
- NPI Number
- 1568464824
- Entity Type
- Individual
- Name
- DR. Agnes Idicula
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 1, 2005
- Last Updated
- Apr 6, 2011
Practice Location
- Address
- 10065 CORTEZ BLVD
- City
- Weeki Wachee
- State
- Florida
- ZIP Code
- 34613-6389
- Phone
- (352) 596-4660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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