LARRY DAVID HAGAMAN


Address: 721 W Robertson St, Ste 102, Brandon, FL 33511-4934
Phone: 8136843707

LARRY DAVID HAGAMAN (NPI# 1578725834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578725834
Entity Type Individual
Full Name LARRY DAVID HAGAMAN
Credential PA-C
Practice Address 721 W Robertson St
Ste 102
Brandon
FL 33511-4934
Practice Telephone 8136843707
Practice Fax Number 8136432457
Mailing Telephone 8136843707
Mailing Fax Number 8136472457
Enumeration Date 2008-06-27
Last Update Date 2008-06-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA0003049 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 721 W ROBERTSON ST
STE 102
City BRANDON
State FL
Zip Code 33511-4934

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487628376 Tommy L Sims Physician Assistant 721 W Robertson St, Suite 102, Brandon, FL 33511-4900 2006-02-15
1407489172 Musculoskeletal Institute Chartered Orthopaedic Surgery 721 W Robertson St, Brandon, FL 33511-4934 2020-02-20
1821630146 Rachel Nicole Carlson Physician Assistant 721 W Robertson St, Brandon, FL 33511-4934 2019-10-09
1043624430 Florida Musculoskeletal Surgical Group LLC Durable Medical Equipment & Medical Supplies 721 W Robertson St, Suite 102, Brandon, FL 33511-4900 2014-06-13
1083027924 Tatayana Neely Physician Assistant 721 W Robertson St, Suite 102, Brandon, FL 33511-4900 2014-06-09
1255562971 Dana Marie Hess Physician Assistant 721 W Robertson St, Ste 102, Brandon, FL 33511-4934 2009-07-29
1730375395 Brandon Area Ear, Nose and Throat, P.a. Specialist 721 W Robertson St, Suite 108, Brandon, FL 33511-4934 2007-09-18
1508080771 Chris Mcdonald Noel Physical Therapist 721 W Robertson St, Suite 105, Brandon, FL 33511-4934 2007-04-12
1730216664 Eric Matthew Arguello Physical Therapist 721 W Robertson St, Suite 105, Brandon, FL 33511-4934 2007-02-27
1396852729 Jacqueline Bessie Hermenitt Physician Assistant 721 W Robertson St, Ste102, Brandon, FL 33511-4934 2006-08-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295367555 Ability Beyond Measures LLC. Clinic/Center 2705 Isabella Valley Court, Brandon, FL 33511 2020-02-05
1831744655 Brandon Modern Dentistry, Pa Dentist 971 E. Bloomingdale Avenue, Brandon, FL 33511 2019-08-08
1487208922 Heart and Vascular Center of Brandon, Pllc Internal Medicine 511 Medical Oaks Ave., Brandon, FL 33511 2019-08-01
1841842895 Rebecca Harrelson Counselor 915 Oakfield Drive, Suite E, Brandon, FL 33511 2019-07-10
1043779713 Cheryl Diane Hart Nurse Practitioner 888 S Parsons Ave., Brandon, FL 33511 2019-03-13
1306303177 Paula J Buchwald Nurse Practitioner 888 S. Parsons Ave, Brandon, FL 33511 2019-02-27
1063993996 Ashlee Marie Shevchenko Speech-Language Pathologist 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 2018-08-28
1275023012 Ava Cares, LLC Assisted Living Facility 3005 Bell Shoals Rd., Brandon, FL 33511 2018-05-17
1346738705 Tampa Psychology Group Psychologist 1463 Oakfield Dr Ste 109, Brandon, FL 33511 2018-05-01
1760982987 Suresh Lama Tamang Counselor 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 2018-02-14
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134523525 Mildred Lopez Garrido Physician Assistant 205 S Moon Ave Ste 105, Brandon, FL 33511-5716 2014-10-15
1528477254 Arveny Negron Physician Assistant 500 Vonderburg Dr Ste 311w, Brandon, FL 33511-5978 2014-08-06
1053724955 Travis Shearer Physician Assistant 3954 Applegate Cir, Brandon, FL 33511-7985 2014-06-09
1649368556 Cheri Marie Jrolf Physician Assistant 519a E Bloomingdale Ave Ste A, Brandon, FL 33511-8105 2006-10-10
1396771234 John H Phillips Physician Assistant 799 W Lumsden Rd, Brandon, FL 33511-6261 2006-06-23
1083662159 Tony John Nelson Physician Assistant 540 Medical Oaks Ave Ste 102, Brandon, FL 33511-5995 2006-05-04
1578550216 James William Pank Physician Assistant 220 Grand Regency Blvd, Brandon, FL 33510-3935 2005-09-27
1811998156 Janelle Marie Kalle Physician Assistant 500 Vonderburg Dr, 102, Brandon, FL 33511-5964 2005-08-09
1801304126 Morgan Leigh Williams Physician Assistant 615 Vonderburg Dr, Brandon, FL 33511-5972 2018-01-22
1093242810 Marikate B Howe Physician Assistant 403 S Kings Ave Ste 100, Brandon, FL 33511-5962 2017-05-11
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Competitor

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City BRANDON
Zip Code 33511

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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