Individual
JASON DANIEL FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1693 LEE RD STE B, WINTER PARK, FL 32789-2260
(407) 499-5010
Mailing address
1693 LEE RD STE B, WINTER PARK, FL 32789-2260
(407) 499-5010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9113844
FL
Other
Enumeration date
08/31/2012
Last updated
03/01/2026
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