Individual
DR. JENNIFER ELIZABETH HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0371
(352) 273-7770
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME121794
FL
208600000X
Surgery Physician
ML60020737
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014272900
—
FL
Enumeration date
07/23/2008
Last updated
03/11/2015
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