Ethan Ilagan

Anesthesiologist Assistant · Jacksonville, FL

Individual Active NPI

NPI number 1396626420

Practice location

4201 Belfort Rd
Jacksonville, FL 32216-1431
Phone
(904) 296-3700

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NPI record

NPI
1396626420
Entity type
Individual (Type 1)
Enumeration date
September 8, 2025
Last updated
February 20, 2026
Certified
February 20, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiologist Assistant Primary 367H00000X AA1172 FL

Mailing address

213 Berry Farm Ln
Saint Johns, FL 32259-7211

About Ethan Ilagan

Ethan Ilagan is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiologist Assistant (code 367H00000X). The practice location is 4201 Belfort Rd, Jacksonville, FL 32216-1431. The NPI number 1396626420 was assigned on September 8, 2025 and the record was last updated on February 20, 2026.

Ethan Ilagan lists a license in the registry: #AA1172 (FL) for Anesthesiologist Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ethan Ilagan?

The NPI number is 1396626420.

What is the phone number of Ethan Ilagan?

The phone number listed for the practice location is (904) 296-3700.

Where is Ethan Ilagan located?

4201 Belfort Rd, Jacksonville, FL 32216-1431.

What is the taxonomy code for Ethan Ilagan?

The primary taxonomy code is 367H00000X – Anesthesiologist Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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