MEDICARE: ELIZABETH J O'HAGAN ARNP, FNP-C

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	363L00000X	Nurse Practitioner	F346251	NY
2	363LF0000X	Family Nurse Practitioner	11000686	FL
3	363L00000X	Nurse Practitioner	101.0134633	VT

General Provider Information

NPI Number	:	1881166536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH J O'HAGAN ARNP, FNP-C

Provider Business Mailing Address
First Line	:	13100 COG HILL WAY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-8842
Country	:	US
Telephone Number	:	941-539-9973
Fax Number	:

Provider Business Practice Location Address
First Line	:	1969 S ALAFAYA TRL UNIT 172
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-8732
Country	:	US
Telephone Number	:	941-539-9973
Fax Number	:

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

Provider Enumeration Date	:	12/19/2018
Last Update Date	:	09/18/2025

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