Aegle Group LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

AEGLE GROUP LLC

Practice address

3003 S Highway 77 Ste F
Lynn Haven, FL 32444-5627

Phone

(850) 250-5757

NPI assigned

Apr 30, 2018

Last updated

Oct 29, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael John Maclaren, MHHA

Title

President

Phone

(850) 250-5757

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1053809574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 S HIGHWAY 77 STE F",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324445627",
            "telephone_number": "850-250-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 S HIGHWAY 77 STE F",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324445627",
            "telephone_number": "850-250-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGLE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "MACLAREN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-250-5757",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHHA"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Lynn Haven, FL
• Providers in Lynn Haven, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.