Search › Florida › 363A00000X
Carson Wagner
NPI 1063060796 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1071 Calla Lily Cv
Oviedo, FL 32766 - Phone
- (407) 409-1616
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida