Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Justin Wagoner, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316126337

Michael Justin Wagoner, MD is a Pathology in Tampa, Florida. Graduated from University of South Florida College of Medicine in 2005, 21 years ago. Practices with Womens Care Florida LLC, a 330-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
21
Trained at
University of South Florida College of Medicine
Licensed in
FL
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5426 Beaumont Center Blvd Ste 350
Tampa, FL 33634-5235
Phone: (813) 286-0033
Fax: (813) 282-1806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5002 W Lemon St, Tampa, FL 33609 — (813) 286-0033
  • 10000 Bay Pines Blvd, Bay Pines, FL 33744 — (727) 398-6661

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence ME103487 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence TRN8871 (FL)

Record details

NPI number1316126337
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 26, 2007
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023
Mailing addressPo Box 748817, Atlanta, GA 30374-8817

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Womens Care Florida Llc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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