Individual
MRS. SUSAN JANE HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, RT 117, TAMPA, FL 33612-4745
(813) 972-2000
(813) 978-5988
Mailing address
13000 BRUCE B DOWNS BLVD, RT 117, TAMPA, FL 33612-4745
(813) 972-2000
(813) 978-5988
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1866782
FL
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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