DAVID MICHAEL FAGAN

FORT LAUDERDALE, FL
NPI1912041302
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: FL  3856)
Additional Taxonomies152W00000X Optometrist
(Licence: MA  4409)
Enumeration Date2007-02-18
Last Update Date2007-07-08
Business Address
Dr. DAVID MICHAEL FAGAN O.D.
901 N FEDERAL HWY
FORT LAUDERDALE, FL 33304-2706
Phone number: 954-779-1382
Mailing Address
Dr. DAVID MICHAEL FAGAN O.D.
3000 NE 5TH TER APT 302A
WILTON MANORS, FL 33334-2059
Phone number:
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