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Individual
JASON R HAGERTY
Active
Individual
JASON R HAGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
COA.16064-NP
OH
363LF0000X
Family Nurse Practitioner
Primary
ARNP9396930
FL
363LF0000X
Family Nurse Practitioner
COA.16064-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014664800
—
FL
Enumeration date
06/24/2014
Last updated
11/04/2021
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