Individual
DR. JUSTIN ANTHONY ILAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
213 BERRY FARM LN, JACKSONVILLE, FL 32259-7211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB12169700
NJ
207RN0300X
Nephrology Physician
Primary
OS21814
FL
Other
Enumeration date
04/09/2021
Last updated
07/22/2025
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