Bruce Wagner, PHYSICIANASSISTANT
Bruce Wagner, PHYSICIANASSISTANT is a Surgical Physician Assistant in Longwood, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2014
Practice location Address checks out
1410 Canal Point RdLongwood, FL 32750-4562
Phone: (407) 832-2955
Fax: (407) 339-2955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence PA9107368 (FL) |
|---|
Record details
| NPI number | 1215351697 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | Yes |
| NPI enumerated | February 6, 2014 |
| Last updated in NPPES | February 6, 2014 |
| Mailing address | 1410 Canal Point Rd, Longwood, FL 32750-4562 |
Other providers in Longwood
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Stephen Daniel Decarlo, PA-C
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-
Strong Surgical Services, PLLC
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