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Individual
MATTHEW BAGGETT
Active
Individual
MATTHEW BAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7215
WI
363A00000X
Physician Assistant
Primary
PA9108973
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015785200
—
FL
Enumeration date
08/14/2015
Last updated
02/07/2024
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