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

Wolf Karl Von Waagner, MD

Individual provider General Practice Physician · NPI 1124308580

Wolf Karl Von Waagner, MD is a General Practice in Davenport, Florida. Qualified in 1997, 29 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
29
Licensed in
FL
In the registry since
2011
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

2306 N Blvd W Ste C
Davenport, FL 33837-8976
Phone: (863) 547-9200
Fax: (863) 547-9221
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ME170625 (FL)

Record details

NPI number1124308580
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 17, 2011
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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