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Jason R Hagerty, NP-C
Family Nurse Practitioner in Palmetto, Florida
NPI 1073928537

Jason R Hagerty is a Family Nurse Practitioner based in Tampa, FL and is specialized in Family. Jason R Hagerty practices in Palmetto, FL and has the professional credentials of NP-C. The NPI Number for Jason R Hagerty is 1073928537 and holds a License No. COA.16064-NP (Florida).

The current practice location address for Jason R Hagerty is 1120 10Th St E, Palmetto, FL and can be reached out via phone at 941-847-7903 and via fax at 941-847-7919.

Location: 1120 10Th St E, Palmetto, FL, 33634-6327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073928537
Provider Name
Jason R Hagerty
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
1120 10Th St E, Palmetto, FL, 33634-6327
Phone Number
941-847-7903
Fax Number
941-847-7919
Provider Enumeration Date
06/24/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
014664800 05 FL
institution
Provider Business Practice Location Address Details
Address
1120 10Th St E
City
Palmetto
State
Florida
Zip
34221-4134
Phone Number
941-847-7903
Fax Number
941-847-7919
person
Provider Business Mailing Address Details
Address
1120 10Th St E
City
Palmetto
State
Florida
Zip
34221-4134
Phone Number
941-847-7903
Fax Number
941-847-7919
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
261QU0200X
License No.
COA.16064-NP (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
COA.16064-NP (Ohio)
Definition
Definition to come...
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