Individual
DR. MATTHEW R. BAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
18308 MURDOCK CIR, UNIT 105, PORT CHARLOTTE, FL 33948-1025
(941) 743-4150
(941) 743-4427
Mailing address
18308 MURDOCK CIR UNIT 105, PORT CHARLOTTE, FL 33948-1025
(941) 743-4150
(941) 743-4427
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS8365
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001521900
—
FL
01
—
240249
WELLCARE
FL
01
—
2502907
CIGNA
FL
01
—
324872
AVMED
FL
01
—
7657446
AETNA
FL
01
—
P01271765
RAILROAD MCR
FL
01
—
P01809468
CLEAR HEALTH ALLIANCE
FL
01
—
P109659
FREEDOM HEALTH
FL
01
—
P951432
OPTIMUM
FL
Enumeration date
04/11/2006
Last updated
01/01/2025
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