Individual
DR. JOSHUA DENNIS HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 FRIST BLVD STE 5, FORT PIERCE, FL 34950-4800
(772) 241-6330
Mailing address
2401 FRIST BLVD STE 5, FORT PIERCE, FL 34950-4800
(772) 241-6330
(772) 241-6331
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME115394
FL
2086S0102X
Surgical Critical Care Physician
ME115394
FL
2086S0127X
Trauma Surgery Physician
ME115394
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2008
Last updated
07/15/2024
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