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Individual

ALAN R KAGAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2880 CAPITAL MEDICAL BLVD, SUITE 2, TALLAHASSEE, FL 32308-4671
(850) 656-5523
(850) 222-1194
Mailing address
2880 CAPITAL MEDICAL BLVD, SUITE 2, TALLAHASSEE, FL 32308-4671
(850) 656-5523
(850) 222-1194

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0054439
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08286
BC/BS PROVIDER NUMBER
FL
Enumeration date
12/28/2005
Last updated
07/08/2007
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