Provider Demographics
NPI:1285084707
Name:AUGLIS, ALAN-PHILIP REJEAN
Entity type:Individual
Prefix:MR
First Name:ALAN-PHILIP
Middle Name:REJEAN
Last Name:AUGLIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:391 MYAKKA ST NE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32907-1312
Mailing Address - Country:US
Mailing Address - Phone:303-250-7391
Mailing Address - Fax:
Practice Address - Street 1:391 MYAKKA ST NE
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32907-1312
Practice Address - Country:US
Practice Address - Phone:303-250-7391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker