NPI 1053809574

Aegle Group LLC

Organisation Exclusive Provider Organization Lynn Haven, FL

Practice location

Address: 3003 S Highway 77 STE F, Lynn Haven, FL 32444-5627
Phone: (850) 250-5757

Authorised official

Name: Michael John Maclaren
Title: President
Phone: (850) 250-5757

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1053809574
Entity type: Organization
NPI issued: 30 Apr 2018
Record last updated: 29 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.