Fagan, David Michael
Fagan, David Michael is an individual health care provider with primary practice located at 901 N Federal Hwy , Fort Lauderdale FL 33304-2706. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fagan, David Michael can be contacted via phone (954) 779-1382.Contact Information
Primary practice address
901 N Federal Hwy
Fort Lauderdale FL 33304-2706
Phone: (954) 779-1382
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3856 | Florida |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4409 | Massachusetts |
Profile Details
| NPI number | 1912041302 |
|---|---|
| LBN Legal business name | Fagan, David Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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