Dr. Agustin M Ibarrola
Vascular Surgeon
12955 Palms West Dr Ste 101
Loxahatchee
, Florida 33470
Dr. Agustin M Ibarrola
Vascular Surgeon
12955 Palms West Dr Ste 101
Loxahatchee
, Florida 33470
(561) 331-5263
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Agustin M Ibarrola
- 6415 Lake Worth Rd Ste 102
- Greenacres, FL
- Zip : 33463-3009
- Fax : (561) 331-5263
- Phone : (561) 331-0808
Second Address
- Dr. Agustin M Ibarrola
- 12955 Palms West Dr Ste 101
- Loxahatchee, FL
- Zip : 33470
- Fax : (561) 798-9282
- Phone : (561) 798-1515
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | ME71752 | FL |
National Provider Identifier
| NPI | 1043206600 |
|---|---|
| Provider Name | Dr. Agustin M Ibarrola |
| First Address | Greenacres, FL 33463-3009 |
| Second Address | Loxahatchee, FL 33470 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2005 |
| Last Update Date | 19/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 250929600 | (05) | FL |
| G36333 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.