Healthcare Provider Details

I. General information

NPI: 1295706109
Provider Name (Legal Business Name): JOANNE B DRAGUN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23101 TREE CREST CT
ESTERO FL
34135-2015
US

IV. Provider business mailing address

23101 TREE CREST CT
ESTERO FL
34135-2015
US

V. Phone/Fax

Practice location:
  • Phone: 904-253-0458
  • Fax: 239-949-0702
Mailing address:
  • Phone: 904-253-0458
  • Fax: 239-949-0702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberMD042376L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberME71821
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: