Individual provider · Type 1 NPI

Kyle Jason Hagerty, MD

Student in an Organized Health Care Education/Training Program · Deerfield Beach, FL

NPI number 1891499471 Active

Practice location

201 E Sample Rd
Deerfield Beach, FL 33064-3502

Call (954) 941-8300 Map

Mailing address

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1891499471

Kyle Jason Hagerty, MD's National Provider Identifier is 1891499471, issued on Mar 28, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Deerfield Beach, FL. The record was last updated on Mar 30, 2023.