BRUCE WAGNER

LONGWOOD, FL
NPI1215351697
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: FL  pa9107368)
Enumeration Date2014-02-06
Last Update Date2014-02-06
Business Address
-- BRUCE WAGNER physician assistant
1410 CANAL POINT RD
LONGWOOD, FL 32750-4562
Phone number: 407-832-2955
Mailing Address
-- BRUCE WAGNER physician assistant
1410 CANAL POINT RD
LONGWOOD, FL 32750-4562
Phone number: 407-832-2955