Individual
PETER J CLAGNAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 PRUDENTIAL DR, SUITE 510, JACKSONVILLE, FL 32207-8210
(904) 376-3800
(904) 396-8971
Mailing address
PO BOX 44230, JACKSONVILLE, FL 32231-4230
(904) 376-3800
(904) 376-3998
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2007-01213
NC
2084P0800X
Psychiatry Physician
21637-020
WI
2084P0800X
Psychiatry Physician
Primary
ME121882
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014923400
—
FL
Enumeration date
06/21/2006
Last updated
12/29/2016
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