Dr. Agnes Idicula
Internal Medicine
NPI: 1568464824 Florida
76/100
Good — Trusted
Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.
Score Breakdown
License Status15/30
unknown
Disciplinary Record25/25
0 action(s)
Board Certification15/20
Not verified
Years in Practice15/15
21 years
Data Freshness6/10
Updated 5566 days ago
License Status
FloridaInactive
License #
59607
Issued
Apr 26, 1991
Expires
Jan 31, 2022
Practice Information
- Address
- 10065 CORTEZ BLVD
- WEEKI WACHEE, FL 34613
- Phone
- (352) 596-4660
- In Practice Since
- June 1, 2005
- Data Last Updated
- April 6, 2011
NPI Details
- NPI Number
- 1568464824
- Status
- Active
- Taxonomy Code
- 207R00000X
Data sourced from CMS NPPES public database. Last verified: April 6, 2011.
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