Provider Demographics
NPI:1699000828
Name:KAGAN, JUGAN & ASSOCIATES
Entity type:Organization
Organization Name:KAGAN, JUGAN & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:KNOX
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:239-936-6778
Mailing Address - Street 1:3210 CLEVELAND AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-7182
Mailing Address - Country:US
Mailing Address - Phone:239-574-0011
Mailing Address - Fax:239-936-0744
Practice Address - Street 1:2721 DEL PRADO BLVD S
Practice Address - Street 2:SUITE 250
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-5781
Practice Address - Country:US
Practice Address - Phone:239-574-0011
Practice Address - Fax:239-936-0744
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KAGAN, JUGAN & ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-10-06
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty