person
Bruce Wagner, PHYSICIANASSISTANT
Surgical Physician Assistant in Longwood, Florida
NPI 1215351697

Bruce Wagner is a Surgical Physician Assistant based in Longwood, FL and is specialized in Surgical. Bruce Wagner practices in Longwood, FL and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Bruce Wagner is 1215351697 and holds a License No. PA9107368 (Florida).

The current practice location address for Bruce Wagner is 1410 Canal Point Rd, Longwood, FL and can be reached out via phone at 407-832-2955 and via fax at 407-339-2955.

Location: 1410 Canal Point Rd, Longwood, FL, 32750-4562
person
Provider Profile Details
NPI Number
1215351697
Provider Name
Bruce Wagner
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
1410 Canal Point Rd, Longwood, FL, 32750-4562
Phone Number
407-832-2955
Fax Number
407-339-2955
Provider Enumeration Date
02/06/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1410 Canal Point Rd
City
State
Zip
32750-4562
Phone Number
407-832-2955
Fax Number
407-339-2955
person
Provider Business Mailing Address Details
Address
1410 Canal Point Rd
City
State
Zip
32750-4562
Phone Number
407-832-2955
Fax Number
407-339-2955
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9107368 (Florida)
Definition
Definition to come...
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