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DR. AGUSTIN VANONI M.D
NPI 1144561184
General Practice in Lakeland, FL

Active since March 14, 2013PECOS EnrolledAccepts Medicare Assignment
4729 US HIGHWAY 98 S, LAKELAND, FL 33812(863) 646-9663 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 1, 2025, Jun 9, 2023, May 6, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Agustin Vanoni M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AGUSTIN VANONI M.D (NPI 1144561184) is an individual general practice provider in Lakeland, Florida, licensed in Florida (ACN1315) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lakeland, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1144561184
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. AGUSTIN VANONICredential: M.D
Location Address4729 US HIGHWAY 98 SLakeland, FL 33812-4323
Mailing Address6675 Westwood Blvd, Ste 475Orlando, FL 32821-6027 · (407) 845-0384 · Fax (888) 972-1752
Phone(863) 646-9663
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 14, 2013
Last NPPES UpdateApril 1, 20255 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
✔ NPI 1144561184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in FL · ACN1315✔ Licensed in PR · 19588
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

4729 US HIGHWAY 98 S, Lakeland, FL 33812
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Secondary Practice Location 1

Location 14120 US Highway 98 NLakeland, FL 33809-3854 · Phone (863) 940-3147

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Agustin Vanoni M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688933401
PECOS Enrollment IDI20210514002457
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STANLEY H SHROM M.D.
Urology
4729 US HIGHWAY 98 S
LAKELAND, FL 33812
Polk County (863) 646-5789
DR. JEFFREY M SCHWARTZ MD
General Practice
4729 US HIGHWAY 98 S, SUITE 105
LAKELAND, FL 33812
Polk County (863) 619-9800
PEACHES E LEVY-MAXWELL APRN
Nurse Practitioner
4729 US HIGHWAY 98 S
LAKELAND, FL 33812
Polk County (863) 284-6809

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agustin Vanoni's NPI number?

The NPI number for Agustin Vanoni is 1144561184. It was assigned to this individual provider in the NPPES registry on March 14, 2013.

Where is Agustin Vanoni located?

Agustin Vanoni practices at 4729 Us Highway 98 S, Lakeland, FL 33812. The listed phone number is (863) 646-9663.

What is Agustin Vanoni's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Agustin Vanoni enrolled in Medicare?

Yes. Agustin Vanoni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Agustin Vanoni was last updated on April 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.