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1649836180
ADAM FAGAN
LAKELAND, FL
NPI
1649836180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT34128)
Enumeration Date
2019-05-09
Last Update Date
2023-11-27
Business Address
MR. ADAM FAGAN DPT
2300 E COUNTY ROAD 540A
LAKELAND, FL 33813-3825
Phone number: 863-607-3739
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Mailing Address
MR. ADAM FAGAN DPT
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805-3019
Phone number: 863-680-7000
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