Provider Demographics
NPI:1912232299
Name:KAGAN, JUGAN & ASSOCIATES
Entity Type:Organization
Organization Name:KAGAN, JUGAN & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CPA
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:KNOX
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:239-936-6778
Mailing Address - Street 1:3400 LEE BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33971-1309
Mailing Address - Country:US
Mailing Address - Phone:239-368-8271
Mailing Address - Fax:
Practice Address - Street 1:3400 LEE BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33971-1309
Practice Address - Country:US
Practice Address - Phone:239-368-8271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KAGAN, JUGAN & ASSOCITES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-10-05
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7440207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0626040001Medicare NSC
40137Medicare PIN