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Individual
MARK A. LAGATTA
Active
Individual
MARK A. LAGATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME0073930
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260724700
—
FL
01
—
276417
AVMED
FL
01
—
390007737
RAILROAD MEDICARE
FL
01
—
42654
BCBS
FL
Enumeration date
08/24/2005
Last updated
12/23/2009
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