JUDE A WAGNAC

WESTON, FL
NPI1679876817
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT 29266)
Enumeration Date2010-12-09
Last Update Date2014-08-21
Business Address
Mr. JUDE A WAGNAC DPT, ATC/L
2950 CLEVELAND CLINIC BLVD
WESTON, FL 33331-3609
Phone number: 954-659-5370
Mailing Address
Mr. JUDE A WAGNAC DPT, ATC/L
7353 NW 174TH TER APT 101
HIALEAH, FL 33015-1135
Phone number: 786-512-7783