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Organization
JOHN DEAGLE FAMILY PRACTICE
Active
Organization
JOHN DEAGLE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DEAGLE D.O. (PRESIDENT)
(305) 852-8208
Entity
Organization
Contact information
Practice address
90290 OVERSEAS HWY, SUITE 103, TAVERNIER, FL 33070-2263
(305) 852-8208
(305) 852-2616
Mailing address
90290 OVERSEAS HWY, SUITE 103, TAVERNIER, FL 33070-2263
(305) 852-8208
(305) 852-2616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS06310
FL
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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