Individual
RICHARD F MCFAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1700 SE HILLMOOR DR, PORT ST LUCIE, FL 34952-7539
(561) 427-7047
Mailing address
6802 MOUNT CHESTNUT RD, ROANOKE, VA 24018-8113
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
53953
FL
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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