Individual
ELIZABETH MARIE HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
600 UNIVERSITY BLVD STE 101, JUPITER, FL 33458-2778
(561) 776-7676
(561) 776-7585
Mailing address
600 UNIVERSITY BLVD STE 101, JUPITER, FL 33458-2778
(561) 776-7676
(561) 776-7585
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 9105150
FL
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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