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Provider Information for 1063414381

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. ANGEL GABRIEL PAGAN M. D.

Gender: MALE

Individual NPI: 1063414381

Calendar   Last Updated:  2018-03-17
  Certification Date: 

Details

Name Value
NPI 1063414381
Enumeration Date 2005-06-01
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 117 W BELT AVE
BUSHNELL, FL 33513-5101
United States

Phone: 352-568-1988 | Fax:
View Map External Link
Primary Practice Address 117 W BELT AVE
BUSHNELL, FL 33513-5101
United States

Phone: 352-568-1988 | Fax:
View Map External Link
Secondary Practice Address 5819 ARGERIAN DR
WESLEY CHAPEL, FL 33545-4159
United States

Phone: 813-994-0800 | Fax:
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 208D00000X - General Practice FL ACN886