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Individual

DR. JACOB DAGANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
2555 JUDGE FRAN JAMIESON WAY, VIERA, FL 32940-5998
(321) 639-5813
Mailing address
1438 PATRIOT DR, MELBOURNE, FL 32940-6818
(419) 231-3128

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
35.063339
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
LL854
FL

Other

Enumeration date
05/28/2005
Last updated
11/06/2019
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