person
Audrey Anne Wagner, MD
Family Medicine Physician in Fort Myers, Florida
NPI 1619556388

Audrey Anne Wagner is a Family Medicine Physician based in Fort Myers, FL. Audrey Anne Wagner practices in Fort Myers, FL and has the professional credentials of MD. The NPI Number for Audrey Anne Wagner is 1619556388 and holds a License No. (Florida).

The current practice location address for Audrey Anne Wagner is 2780 Cleveland Ave Ste 709, Fort Myers, FL and can be reached out via phone at 239-343-2371. You can also correspond with Audrey Anne Wagner through the mailing address at PO BOX 2147, FORT MYERS, FL - 33902-2147 (mailing address contact number: 239-343-3831).

Location: 2780 Cleveland Ave Ste 709, Fort Myers, FL, 33902-2147
person
Provider Profile Details
NPI Number
1619556388
Provider Name
Audrey Anne Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2780 Cleveland Ave Ste 709, Fort Myers, FL, 33902-2147
Phone Number
239-343-2371
Fax Number
Provider Enumeration Date
04/07/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
115971600 05 FL
institution
Provider Business Practice Location Address Details
Address
2780 Cleveland Ave Ste 709
City
State
Zip
33901-5857
Phone Number
239-343-2371
Fax Number
person
Provider Business Mailing Address Details
Address
2780 Cleveland Ave Ste 709
City
State
Zip
33901-5857
Phone Number
239-343-2371
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
ME158286 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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