Search › Florida › 363AS0400X
Bruce Wagner, PHYSICIAN ASSISTANT
NPI 1215351697 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1410 Canal Point Rd
Longwood, FL 32750 - Phone
- (407) 832-2955
- Fax
- (407) 339-2955
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-02-06
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