Search › Florida › 164W00000X
Shakita Wagner
NPI 1447610928 · on the registry since 2016
Practice
- Address
- 1455 Carpathian Dr
Jacksonville, FL 32218 - Phone
- (904) 524-7263
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-02-26
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