Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Victoria Wagenknecht, PA-C

Individual provider Physician Assistant · NPI 1770122996

Victoria Wagenknecht, PA-C is a Physician Assistant in Fort Myers, Florida. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

13340 Metro Pkwy Ste 400
Fort Myers, FL 33966-4818
Phone: (239) 343-1105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1770122996
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 6, 2020
Last updated in NPPESOctober 27, 2023
Certification dateOctober 27, 2023

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