Benjamin Jacob Fagan

Practice location

Address

600 Lake Hollingsworth Dr, Lakeland, FL 33803-2364

Phone

(844) 854-1116

Mailing address

1500 S Douglas Rd STE 230, Coral Gables, FL 33134-4108

Registered specialties

Registry record

NPI

1013578319

Entity type

Individual

Sex (as registered)

Male

NPI issued

26 Jun 2019

Record last updated

31 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.