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Dr. Bo Bagenholm, MD
Gynecology Physician in The Villages, Florida
NPI 1548566904

Bo Bagenholm is a Gynecology Physician based in The Villages, FL and is specialized in Gynecology. Bo Bagenholm practices in The Villages, FL and has the professional credentials of MD. The NPI Number for Bo Bagenholm is 1548566904 and holds a License No. ME24950 (Florida).

The current practice location address for Bo Bagenholm is 1704 Duffy Loop, The Villages, FL and can be reached out via phone at 352-350-2530 and via fax at 352-350-2530.

Location: 1704 Duffy Loop, The Villages, FL, 32162-4093
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548566904
Provider Name
Bo Bagenholm
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1704 Duffy Loop, The Villages, FL, 32162-4093
Phone Number
352-350-2530
Fax Number
352-350-2530
Provider Enumeration Date
02/02/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50474-2 05 FL
institution
Provider Business Practice Location Address Details
Address
1704 Duffy Loop
City
The Villages
State
Florida
Zip
32162-4093
Phone Number
352-350-2530
Fax Number
352-350-2530
person
Provider Business Mailing Address Details
Address
1704 Duffy Loop
City
The Villages
State
Florida
Zip
32162-4093
Phone Number
352-350-2530
Fax Number
352-350-2530
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
ME24950 (Florida)
Definition
Definition to come...
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