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Individual

DR. DANIEL AUGUSTUS SIRAGUSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
655 W 8TH ST, UFJP RADIOLOGY DEPT, JACKSONVILLE, FL 32209-6511
(904) 244-4225
(904) 244-3382
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-3425

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME76491
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME76491
FL

Other

Enumeration date
02/21/2006
Last updated
08/27/2007
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