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NPI Code Detail

MEDICARE: DR. ROI DAGAN M.D.

MEDICARE: DR. ROI DAGAN 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
12085R0001XRadiation Oncology PhysicianME 112634FL

General Provider Information

NPI Number : 1952508491
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROI DAGAN M.D.
Provider Business Mailing Address
First Line : PO BOX 116304
Second Line :
City : ATLANTA
State : GA
Zip : 30368-6304
Country : US
Telephone Number : 904-588-1800
Fax Number : 904-588-1300
Provider Business Practice Location Address
First Line : 2015 JEFFERSON ST
Second Line : UNIVERSITY OF FLORIDA PROTON THERAPY INSTITUTE
City : JACKSONVILLE
State : FL
Zip : 32206-3531
Country : US
Telephone Number : 904-588-1800
Fax Number : 904-588-1300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2007
Last Update Date : 02/21/2017

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