Wagner, Carson Lee

Wagner, Carson Lee is an sole proprietor health care provider with primary practice located at 1071 Calla Lily Cv , Oviedo FL 32766-0003. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wagner, Carson Lee can be contacted via phone (407) 409-1616.

Contact Information

Primary practice address
1071 Calla Lily Cv Oviedo FL 32766-0003
Phone: (407) 409-1616
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9112577 Florida

Profile Details

NPI number 1063060796
LBN Legal business name Wagner, Carson Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2019
Last updated Oct 20th, 2019 - about 7 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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