Individual
DR. DAVID MICHAEL FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
901 N FEDERAL HWY, FORT LAUDERDALE, FL 33304-2706
(954) 779-1382
Mailing address
3000 NE 5TH TER APT 302A, WILTON MANORS, FL 33334-2059
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3856
FL
152W00000X
Optometrist
4409
MA
Other
Enumeration date
02/18/2007
Last updated
07/08/2007
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