MEDICARE: DR. DEANNE I DAGGETT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	035079	CT

General Provider Information

NPI Number	:	1285627240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEANNE I DAGGETT M.D.

Provider Business Mailing Address
First Line	:	630 US HIGHWAY 1 FL 2
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-4625
Country	:	US
Telephone Number	:	561-402-7600
Fax Number	:	561-529-4161

Provider Business Practice Location Address
First Line	:	630 US HIGHWAY 1 FL 2
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-4625
Country	:	US
Telephone Number	:	561-402-7600
Fax Number	:	561-529-4161

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	07/06/2023

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