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Individual

DR. FREDERICK CARON HOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-5911
Mailing address
11375 CORTEZ BLVD # SR50, BROOKSVILLE, FL 34613-5409
(407) 864-8446

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101287401
VA
207P00000X
Emergency Medicine Physician
96156
SC
207P00000X
Emergency Medicine Physician
Primary
ME162786
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
130170800
FL
Enumeration date
03/31/2021
Last updated
04/28/2026
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