Individual
DR. KELLY KATHLEEN JAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1307 S PINE AVE, OCALA, FL 34471-6543
(352) 368-2238
(352) 368-5042
Mailing address
300 HEALTH PARK BLVD, SUITE 3002, ST AUGUSTINE, FL 32086-3707
(904) 819-1500
(904) 810-1023
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME95792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279241900
—
FL
Enumeration date
01/24/2006
Last updated
02/20/2024
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