Individual
DR. JAMES D HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12979 SW 112TH ST, MIAMI, FL 33186-4769
(305) 386-3937
(305) 386-1494
Mailing address
12979 SW 112TH ST, MIAMI, FL 33186-4769
(305) 386-3937
(305) 386-1494
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
FL1745
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078357900
—
FL
Enumeration date
01/03/2006
Last updated
12/03/2007
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