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Contact Information

AGNES E AYSOLA, MD
655 W 8TH ST
UFJP PATHOLOGY DEPT.
JACKSONVILLE, FL32209-6511
 Phone: 904-244-4387
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Blood Banking & Transfusion Medicine

207ZB0001X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for AGNES E AYSOLA · (Female)

NPI # 1689618811
Status Active
Credentials MD
Entity Individual
Enumeration date 06/16/2006
Last updated 06/10/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME103131
  • MN License # 42392
  • FL Medicaid 0005352-00
  • GA Medicaid 313506441A
  • IA Medicaid 0559724
  • MN Medicaid 587447500
  • WI Medicaid 34309100
  • MN Other 1692251 ARAZ
  • MN Other 258A6AY BCBS
  • MN Other HP38358 HEALTHPARTNERS
  • MN Other 11-00245 MEDICA CHOICE
  • MN Other 11-00014 MEDICA PRIMARY
  • MN Other 1032019 PREFERRED ONE
  • MN Other 1032020 UCARE
Hospital affiliation(s)
  • SHANDS JACKSONVILLE MEDICAL CENTER - (Acute Care)
    655 W 8TH ST
    JACKSONVILLE, FL 32209
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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