Individual
MARY L FAGARAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
687 BEVILLE RD STE A, SOUTH DAYTONA, FL 32119-1970
(386) 871-4781
(386) 761-5868
Mailing address
687 BEVILLE RD STE A, SOUTH DAYTONA, FL 32119-1970
(386) 871-4781
(386) 761-5868
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104854300
—
FL
Enumeration date
09/23/2019
Last updated
12/14/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us