Individual
MR. DOUGLAS RAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
922 HIGHWAY 81 E # 365, MCDONOUGH, GA 30252-2978
(770) 898-4017
(800) 385-9610
Mailing address
11014 N DALE MABRY HWY STE 504, TAMPA, FL 33618-3800
(813) 269-4000
(813) 200-3772
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA37172
FL
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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