Provider Demographics
NPI:1518356526
Name:AGOSTINI&ASSOCIATES, PA
Entity Type:Organization
Organization Name:AGOSTINI&ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:AGOSTINI-MIRANDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-228-6498
Mailing Address - Street 1:PO BOX 653837
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33265-3837
Mailing Address - Country:US
Mailing Address - Phone:786-228-6498
Mailing Address - Fax:888-435-3753
Practice Address - Street 1:8201 SW 165TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-5768
Practice Address - Country:US
Practice Address - Phone:786-228-6498
Practice Address - Fax:888-435-3753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-14
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty