Provider Demographics
NPI:1578859559
Name:CAGNIART, PIERRE-ETIENNE C (MD)
Entity Type:Individual
Prefix:
First Name:PIERRE-ETIENNE
Middle Name:C
Last Name:CAGNIART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 CREEKS EDGE CT
Mailing Address - Street 2:
Mailing Address - City:FLEMING ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32003-7413
Mailing Address - Country:US
Mailing Address - Phone:253-304-7220
Mailing Address - Fax:
Practice Address - Street 1:6040 CHILD STREET
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:23708-2197
Practice Address - Country:US
Practice Address - Phone:045-429-9359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-28
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME155215207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology