Individual
CHRISTOPHER DWAYNE BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
10267 SW 46TH CT, OCALA, FL 34476-4067
(352) 208-3854
Mailing address
10267 SW 46TH CT, OCALA, FL 34476-4067
(352) 208-3854
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9374264
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN9374264
FL
Other
Enumeration date
05/23/2018
Last updated
08/05/2024
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