Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan Ilagan

Individual provider Anesthesiologist Assistant · NPI 1396626420

Ethan Ilagan is an Anesthesiology Assistant in Jacksonville, Florida. Qualified in 2025, 1 year ago. Practices with North Florida Anesthesia Consultants Inc, a 108-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

4201 Belfort Rd
Jacksonville, FL 32216-1431
Phone: (904) 296-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence AA1172 (FL)

Record details

NPI number1396626420
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 8, 2025
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026
Mailing address213 Berry Farm Ln, Saint Johns, FL 32259-7211

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice North Florida Anesthesia Consultants Inc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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