Individual provider · Type 1 NPI
Bruce Wagner, PHYSICIAN ASSISTANT
Surgical Physician Assistant · Longwood, FL
NPI number
1215351697
Active
Practice location
1410 Canal Point Rd
Longwood, FL 32750-4562
Fax (407) 339-2955
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA9107368 (FL) |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in Longwood
About NPI 1215351697
Bruce Wagner, PHYSICIAN ASSISTANT's National Provider Identifier is 1215351697, issued on Feb 6, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Longwood, FL. The record was last updated on Feb 6, 2014.