Lagatta, Mark A.

Lagatta, Mark A. is an individual health care provider with primary practice located at 4100 Metric Dr Suite 200, Winter Park FL 32792-6832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Lagatta, Mark A. can be contacted via phone (407) 681-8720.

Contact Information

Primary practice address
4100 Metric Dr Suite 200 Winter Park FL 32792-6832
Phone: (407) 681-8720
Fax: (407) 681-8729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME0073930 Florida

Profile Details

NPI number 1821081985
LBN Legal business name Lagatta, Mark A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Dec 23rd, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821081985 NPPES
Florida Other 42654 BCBS
Florida MEDICAID 260724700 BCBS
Florida Other 276417 BCBS
Florida Other 390007737 BCBS

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