JOSHUA J FAGAN

ST PETERSBURG, FL
NPI1033867544
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  11013563)
Enumeration Date2022-03-14
Last Update Date2022-03-14
Business Address
JOSHUA J FAGAN FNP
2240 63RD AVE S APT 515
ST PETERSBURG, FL 33712-6311
Phone number: 727-656-1341
Mailing Address
JOSHUA J FAGAN FNP
2240 63RD AVE S APT 515
ST PETERSBURG, FL 33712-6311
Phone number: 727-656-1341