Wagoner, Paula Marie
Wagoner, Paula Marie is an sole proprietor health care provider with primary practice located at 13000 Bruce B Downs Blvd , Tampa FL 33612-4745. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Wagoner, Paula Marie can be contacted via phone (813) 972-2000.Contact Information
Primary practice address
13000 Bruce B Downs Blvd
Tampa FL 33612-4745
Phone: (813) 972-2000
Fax: (813) 903-4879
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 1104442 | Florida |
Profile Details
| NPI number | 1962496331 |
|---|---|
| LBN Legal business name | Wagoner, Paula Marie |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Jul 13th, 2007 - about 19 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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