Individual
MICHAEL A DAGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1400 US HIGHWAY 1 S, ST AUGUSTINE, FL 32084-4211
(904) 829-2286
(904) 810-5687
Mailing address
1400 US HIGHWAY 1 S, ST AUGUSTINE, FL 32084-4211
(904) 829-2286
(904) 810-5687
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3884
FL
Other
Enumeration date
08/12/2005
Last updated
05/02/2013
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