Organization · Type 2 NPI

Jennifer Wagner Inc

Surgical Physician Assistant · Miami, FL

NPI number 1467846956 Active

Practice location

20201 NE 21st Ave
Miami, FL 33179-2804

Call (305) 987-4443 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9101701 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1467846956

Jennifer Wagner Inc's National Provider Identifier is 1467846956, issued on Mar 24, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Miami, FL. The record was last updated on Mar 24, 2015.