Individual
COREY STUART CAGWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2352 BRUCE B DOWNS BLVD STE 102, WESLEY CHAPEL, FL 33544-9203
(813) 979-0440
(813) 355-5054
Mailing address
38135 MARKET SQUARE DR, ZEPHYRHILLS, FL 33542-7505
(813) 979-0440
(813) 355-5054
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11026053
FL
363LF0000X
Family Nurse Practitioner
APRN11026053
FL
Other
Enumeration date
04/05/2023
Last updated
11/15/2023
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