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Individual

DR. SERGIO M LAGMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
159 N. 3RD STREET, MACCLENNY, FL 32063-0484
(904) 259-3151
(904) 259-4675
Mailing address
159 N. 3RD STREET, MACCLENNY, FL 32063-0484
(904) 259-3151
(904) 259-4675

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME32457
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037749000
FL
Enumeration date
08/19/2005
Last updated
03/31/2014
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