Organization
DOUGLAS PRIMARY CARE CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS DANIEL GAGNON DC (PRESIDENT)
(954) 540-0492
Entity
Organization
Contact information
Practice address
7171 N UNIVERSITY DR STE 207, TAMARAC, FL 33321-2902
(954) 532-7458
(954) 590-8326
Mailing address
7171 N UNIVERSITY DR STE 207, TAMARAC, FL 33321-2902
(954) 532-7458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
FL
Other
Enumeration date
12/08/2017
Last updated
02/06/2018
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