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
State
Florida
ZIP Code
34613-6389
Phone
(352) 596-4660

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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