Individual
DR. VIVIAN HAGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
(561) 866-6538
Mailing address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
(561) 866-6538
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
TRN35725
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2021
Last updated
08/24/2022
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