Provider Demographics
NPI:1952508491
Name:DAGAN, ROI (MD)
Entity Type:Individual
Prefix:DR
First Name:ROI
Middle Name:
Last Name:DAGAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 116304
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30368-6304
Mailing Address - Country:US
Mailing Address - Phone:904-588-1800
Mailing Address - Fax:904-588-1300
Practice Address - Street 1:2015 JEFFERSON ST
Practice Address - Street 2:UNIVERSITY OF FLORIDA PROTON THERAPY INSTITUTE
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32206-3531
Practice Address - Country:US
Practice Address - Phone:904-588-1800
Practice Address - Fax:904-588-1300
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2017-02-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 1126342085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLGC099ZMedicare PIN