MEDICARE: DR. DONALD J HAGAN MD

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	208600000X	Surgery Physician	ME0010480	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730125485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD J HAGAN MD

Provider Business Mailing Address
First Line	:	8205 NW HIGHWAY 225
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34482-1859
Country	:	US
Telephone Number	:	352-351-2280
Fax Number	:	352-351-3909

Provider Business Practice Location Address
First Line	:	8205 NW HIGHWAY 225
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34482-1859
Country	:	US
Telephone Number	:	352-351-2280
Fax Number	:	352-351-3909

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

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	08/16/2010

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