John Ellis Agens JR.
Internist Geriatric Medicine
4449 Meandering Way Fsu Seniorhealth At Wok
Tallahassee
, Florida 32308-5740
John Ellis Agens JR.
Internist Geriatric Medicine
4449 Meandering Way Fsu Seniorhealth At Wok
Tallahassee
, Florida 32308-5740
(850) 645-0577
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About
Features
Specialties
- Internist
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- John Ellis Agens JR.
- Po Box 3064300 1115 West Call Street, Suite 1121-C
- Tallahassee, FL
- Zip : 32306-4300
- Fax : (850) 645-0577
- Phone : (850) 645-9350
Second Address
- John Ellis Agens JR.
- 4449 Meandering Way Fsu Seniorhealth At Wok
- Tallahassee, FL
- Zip : 32308-5740
- Fax : (850) 645-0577
- Phone : (850) 644-1543
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | ME 87099 | FL |
| N | 111NI0900X | Internist | ME 87099 | FL |
| Y | 207RG0300X | Geriatric Medicine | ME87099 | FL |
National Provider Identifier
| NPI | 1144287087 |
|---|---|
| Provider Name | John Ellis Agens JR. |
| First Address | Tallahassee, FL 32306-4300 |
| Second Address | Tallahassee, FL 32308-5740 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2006 |
| Last Update Date | 13/01/2017 |
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.