Provider Demographics
NPI:1275952251
Name:AGBI HEALTHCARE, INC
Entity Type:Organization
Organization Name:AGBI HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:O
Authorized Official - Last Name:AGBI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:718-541-9611
Mailing Address - Street 1:2542 COOPER WAY
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-3412
Mailing Address - Country:US
Mailing Address - Phone:718-541-9611
Mailing Address - Fax:
Practice Address - Street 1:2542 COOPER WAY
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-3412
Practice Address - Country:US
Practice Address - Phone:718-541-9611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10970282N00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No282N00000XHospitalsGeneral Acute Care Hospital