Individual
DR. JOHN LAWRENCE PAGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9325 GLADES RD STE 201, BOCA RATON, FL 33434-3988
(561) 488-1001
Mailing address
2709 154TH ST, FLUSHING, NY 11354-1552
(718) 961-9694
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC6205
FL
152W00000X
Optometrist
TUV008955-01
NY
Other
Enumeration date
07/02/2019
Last updated
05/19/2023
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