Search › Florida › 207R00000X
Agnes Idicula
NPI 1568464824 · on the registry since 2005
Practice
- Address
- 10065 Cortez Blvd
Weeki Wachee, FL 34613 - Phone
- (352) 596-4660
- Fax
- (352) 596-4674
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-04-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida