Provider Demographics
NPI:1295706109
Name:DRAGUN, JOANNE B (MD)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:B
Last Name:DRAGUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:MANAGED CARE DEPT
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7342
Practice Address - Street 1:7751 BAYMEADOWS RD E
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256
Practice Address - Country:US
Practice Address - Phone:904-645-5045
Practice Address - Fax:904-645-5856
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD042376L2085R0001X
FLME718212085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL319252OtherAVMED
FL1193005OtherWELLCARE
FLP0026557OtherFLORIDA HEALTHCARE PLUS
FLP3894OtherMEDICARE
FL29911OtherFL BLUE
FL29911OtherBCBS
FLP00641808OtherRAIL ROAD MEDICARE
FL000133900Medicaid
FL5421041OtherAETNA
PA011257850Medicaid
FL457359OtherWELLCARE
GA581693887BMedicaid
FL7264973OtherCIGNA
FL007277400Medicaid
FL1100416OtherCAREPLUS
FLP01596516OtherRR MEDICARE
FLP01807760OtherCLEAR HEALTH ALLIANCE
FL007277400Medicaid
FLAK203YMedicare PIN