Provider Demographics
NPI:1326116807
Name:ARAGON, ANNABELLE M (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNABELLE
Middle Name:M
Last Name:ARAGON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1621 NE WALDO RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-3900
Mailing Address - Country:US
Mailing Address - Phone:352-055-5000
Mailing Address - Fax:352-055-6113
Practice Address - Street 1:1621 NE WALDO RD
Practice Address - Street 2:OLD HOSPITAL BLDG
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-3900
Practice Address - Country:US
Practice Address - Phone:352-055-5000
Practice Address - Fax:352-055-6113
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL73724207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG69297Medicare UPIN