John Deagle Family Practice

NPI #1336499540 in Tavernier, Florida

Provider Information

NPI Number: 1336499540
Entity Type: Organization
Organization Name: John Deagle Family Practice
Primary Specialty: Family Medicine
Enumeration Date: Sep 14, 2012
Last Updated: Sep 14, 2012

Practice Location

Address: 90290 OVERSEAS HWY
Address 2: SUITE 103
City: Tavernier
State: Florida
ZIP Code: 33070-2263
Phone: (305) 852-8208

Authorized Official

Name: JOHN DEAGLE, D.O.
Title: PRESIDENT
Phone: (305) 852-8208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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