IndividualActive
Bo Bagenholm, MD
NPI 1548566904 · Gynecology Physician · The Villages, FL
Provider details
- NPI number
- 1548566904
- Entity type
- Individual
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME24950 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1704 Duffy Loop
The Villages, FL 32162-4093
Phone: (352) 350-2530
Fax: (352) 350-2530
Approximate (ZIP-level) locationGet directions
Mailing address
1704 Duffy Loop
The Villages, FL 32162-4093
Registry dates
- Enumerated
- 2011-02-02
- Last updated
- 2011-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.