MEDICARE: KAGAN JUGAN & ASSOCIATES PA

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	207X00000X	Orthopaedic Surgery Physician		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	40137	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861450827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAGAN JUGAN & ASSOCIATES PA

Provider Business Mailing Address
First Line	:	3210 CLEVELAND AVE
Second Line	:	SUITE 100
City	:	FORT MYERS
State	:	FL
Zip	:	33901-7182
Country	:	US
Telephone Number	:	239-936-6778
Fax Number	:	239-936-1246

Provider Business Practice Location Address
First Line	:	3210 CLEVELAND AVENUE
Second Line	:	SUITE 100
City	:	FORT MYERS
State	:	FL
Zip	:	33901-7182
Country	:	US
Telephone Number	:	239-936-6778
Fax Number	:	239-936-1246

Authorized Official
Title or Position	:	M.D.
Name	:	DR. JOHN C KAGAN
Credential	:	M.D.
Telephone Number	:	239-936-6778

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	07/18/2013

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