Wagner, Bruce

Wagner, Bruce is an sole proprietor health care provider with primary practice located at 1410 Canal Point Rd , Longwood FL 32750-4562. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Wagner, Bruce can be contacted via phone (407) 832-2955.

Contact Information

Primary practice address
1410 Canal Point Rd Longwood FL 32750-4562
Phone: (407) 832-2955
Fax: (407) 339-2955
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9107368 Florida

Profile Details

NPI number 1215351697
LBN Legal business name Wagner, Bruce
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2014
Last updated Feb 6th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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