Individual
DR. MICHAEL FAGIEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
49 W 49TH ST, HIALEAH, FL 33012-3709
(305) 674-8648
(305) 817-6490
Mailing address
49 W 49TH ST, HIALEAH, FL 33012-3709
(305) 674-8648
(305) 817-6490
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME 59548
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 59548
STATE LICENSE NUMBER
FL
Enumeration date
06/24/2005
Last updated
03/07/2023
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