NPI 1952374498 · live from the CMS NPI Registry
Samuel G. Agnew, MD
Orthopaedic Surgery, Orthopaedic Trauma in Sanford, FL. National Provider Identifier 1952374498, active.
NPI record
| NPI | 1952374498 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Orthopaedic Trauma 207XX0801X |
| Practice location | 309 N Mangoustine Ave Unit G, Sanford, FL 32771 |
| Practice phone | 321-363-1754 |
| Mailing address | Po Box 370, Fortson, GA 31808 |
| Enumerated | February 7, 2006 |
| Last updated | June 4, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 22674 (SC) |
| Orthopaedic Surgery, Orthopaedic Trauma | 207XX0801X | 4301102465 (MI) |
| Orthopaedic Surgery, Orthopaedic Trauma primary | 207XX0801X | ME102967 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.