Individual
DR. DOUGLAS CARL GAGNON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
350 S 10TH ST, HAINES CITY, FL 33844-5602
(863) 422-4575
(863) 422-4573
Mailing address
350 S 10TH ST, HAINES CITY, FL 33844-5602
(863) 422-4575
(863) 422-4573
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 10138
FL
Other
Enumeration date
12/14/2010
Last updated
06/27/2012
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