Organization
COGNIZANT HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN K HAGSTROM MD (SOLE OWNER)
(239) 404-3379
Entity
Organization
Contact information
Practice address
1415 PANTHER LN, NAPLES, FL 34109-7874
(239) 404-3379
(239) 591-6717
Mailing address
250 PARK SHORE DR, SUITE 202, NAPLES, FL 34103-2688
(480) 313-0223
(239) 591-6717
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME114651
FL
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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