Provider Demographics
NPI:1215057294
Name:AGOADO, LANDON I (AP)
Entity type:Individual
Prefix:DR
First Name:LANDON
Middle Name:I
Last Name:AGOADO
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:260 NE 3RD ST
Mailing Address - Street 2:#D
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-3738
Mailing Address - Country:US
Mailing Address - Phone:954-260-2626
Mailing Address - Fax:954-721-8843
Practice Address - Street 1:8050 N UNIVERSITY DR
Practice Address - Street 2:#103
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2115
Practice Address - Country:US
Practice Address - Phone:954-752-8888
Practice Address - Fax:954-721-8843
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1704171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist