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Colin D Agerton
Surgical Physician Assistant in Tampa, Florida
NPI 1245540632

Colin D Agerton is a Surgical Physician Assistant based in Temple Terrace, FL and is specialized in Surgical. Colin D Agerton practices in Tampa, FL. The NPI Number for Colin D Agerton is 1245540632 and holds a License No. PA9105738 (Florida).

The current practice location address for Colin D Agerton is 6117 Gunn Hwy, Tampa, FL and can be reached out via phone at 813-978-9700 and via fax at 813-558-6187.

Location: 6117 Gunn Hwy, Tampa, FL, 33637-0925
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Provider Profile Details
NPI Number
1245540632
Provider Name
Colin D Agerton
Credential
Provider Entity Type
Individual
Gender
Male
Address
6117 Gunn Hwy, Tampa, FL, 33637-0925
Phone Number
813-978-9700
Fax Number
813-558-6187
Provider Enumeration Date
10/19/2010
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
Y09H3 01 FL BCBS
PA9105738 01 FL STATE LICENSE
004380300 05 FL
institution
Provider Business Practice Location Address Details
Address
6117 Gunn Hwy
City
State
Zip
33625-4013
Phone Number
813-978-9700
Fax Number
813-558-6187
person
Provider Business Mailing Address Details
Address
6117 Gunn Hwy
City
State
Zip
33625-4013
Phone Number
813-978-9700
Fax Number
813-558-6187
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9105738 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9105738 (Florida)
Definition
Definition to come...
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