Individual
CASEY MARIE LAGMAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3600 WASHINGTON ST, HOLLYWOOD, FL 33021-8216
(407) 390-1677
(407) 390-1765
Mailing address
PO BOX 639165, CINCINNATI, OH 45263-9165
(800) 424-3672
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9107276
FL
Other
Enumeration date
07/17/2013
Last updated
12/09/2021
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