Provider profile · NPI 1194774604
Jacob K Agamasu, MD
Internal Medicine, Cardiovascular Disease · Lake Mary, FL · NPI 1194774604 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 22, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Individual
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
May 10, 2006
License(s)
ME85101 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 731 STIRLING CENTER PL UNIT 1911 | Lake Mary, FL 32746-5209 | 407-804-9616 |
| MAILING | 731 STIRLING CENTER PL UNIT 1911 | Lake Mary, FL 32746-5209 | 407-804-9616 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.