Individual provider · Type 1 NPI

Michael Lagoe

Nurse Practitioner · Orange City, FL

NPI number 1730698044 Active

Practice location

1061 Medical Center Dr Ste 305
Orange City, FL 32763-8227

Call (386) 943-3190 Map

Fax (386) 738-7629

Mailing address

770 W Granada Blvd Ste 101
Ormond Beach, FL 32174-5179

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN9410645 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1730698044

Michael Lagoe's National Provider Identifier is 1730698044, issued on Sep 29, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Orange City, FL. The record was last updated on Oct 9, 2025.