Individual
KASEY MARIE LAGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2122 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-8937
(904) 553-1135
Mailing address
2122 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-8937
(904) 553-1135
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11040595
FL
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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