Individual provider · Type 1 NPI

Michael Justin Wagoner, MD

Anatomic Pathology & Clinical Pathology Physician · Tampa, FL

NPI number 1316126337 Active

Practice location

5426 Beaumont Center Blvd Ste 350
Tampa, FL 33634-5235

Fax (813) 282-1806

Mailing address

PO Box 748817
Atlanta, GA 30374-8817

Other practice locations

  • 10000 Bay Pines Blvd, Bay Pines, FL 33744 · (727) 398-6661
  • 5002 W Lemon St, Tampa, FL 33609 · (813) 286-0033

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XTRN8871 (FL)
Anatomic Pathology & Clinical Pathology Physician Primary 207ZP0102XME103487 (FL)

Anatomic Pathology & Clinical Pathology Physician: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, ex…

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About NPI 1316126337

Michael Justin Wagoner, MD's National Provider Identifier is 1316126337, issued on Oct 26, 2007. The primary taxonomy on file is Anatomic Pathology & Clinical Pathology Physician (207ZP0102X), and the practice location is in Tampa, FL. The record was last updated on Jun 22, 2023.