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Individual

DR. MARY J. HAGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-6611
Mailing address
528 COPLEY LN, ORLANDO, FL 32806-4701
(315) 727-8218

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS13345
FL
207P00000X
Emergency Medicine Physician
UO2786
FL
208D00000X
General Practice Physician
UO2786
FL

Other

Enumeration date
08/24/2011
Last updated
04/25/2019
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