Individual
MEGAN BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 HEALTH BLVD, DAYTONA BEACH, FL 32114-1492
(386) 252-5858
(386) 252-4477
Mailing address
500 HEALTH BLVD, DAYTONA BEACH, FL 32114-1492
(386) 252-5858
(386) 252-4477
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME 119869
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012360900
—
FL
Enumeration date
06/15/2010
Last updated
10/16/2014
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