Individual
DR. TERI ANN HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13163 66TH STREET NORTH, LARGO, FL 33773
(727) 228-7000
(727) 223-3614
Mailing address
13163 66TH STREET NORTH, LARGO, FL 33773
(727) 228-7000
(727) 223-3614
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME78785
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020116000
—
FL
05
—
118777600
—
FL
01
—
P00379115
RAILROAD MEDICARE
FL
Enumeration date
06/28/2006
Last updated
10/10/2023
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