Dr DEOGRACIAS REMANDABAN AGNILA is a male medical professional, specializing in Nurse Practitioner. He graduated in 2018.
ST VINCENT'S AMBULATORY CARE INC
6488 103RD ST
SUITE B
JACKSONVILLE
FL
322107161
Tel: 9044506810
| Npi | 1154827798 |
| Pac Id | 8224273271 |
| Professional Enrollment Id | I20190108003740 |
| Last Name | AGNILA |
| First Name | DEOGRACIAS |
| Middle Name | REMANDABAN |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
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| Organization Legal Name | ST VINCENT'S AMBULATORY CARE INC |
| Group Practice Pac Id | 2860411188 |
| Number Of Group Practice Members | 295 |
| Line 1 Street Address | 6488 103RD ST |
| Line 2 Street Address | SUITE B |
| Marker Of Address Line 2 Suppression | |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 322107161 |
| Phone Number | 9044506810 |
| Hospital Affiliation Ccn 1 | 100040 |
| Hospital Affiliation Lbn 1 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
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| Professional Accepts Medicare Assignment | Y |
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