Dr Johana Beatriz Castro Wagner, MD | |
11200 Seminole Blvd Ste 310, Largo, FL 33778-3239 | |
(727) 397-8557 | |
(727) 397-4459 |
Full Name | Dr Johana Beatriz Castro Wagner |
---|---|
Gender | Female |
Speciality | Allergy/immunology |
Experience | 15 Years |
Location | 11200 Seminole Blvd Ste 310, Largo, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003175126 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | ME124372 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Pediatric Associates, Llc | 2567375561 | 26 |
Entity Name | Florida Pediatric Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053346718 PECOS PAC ID: 2567375561 Enrollment ID: O20031106000599 |
Mailing Address | Practice Location Address |
---|---|
Dr Johana Beatriz Castro Wagner, MD 11200 Seminole Blvd Ste 310, Largo, FL 33778-3239 Ph: (727) 397-8557 | Dr Johana Beatriz Castro Wagner, MD 11200 Seminole Blvd Ste 310, Largo, FL 33778-3239 Ph: (727) 397-8557 |
Tiffany Laitano, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 727-588-5200 | |
Mandel R Sher, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 11200 Seminole Blvd, Suite 310, Largo, FL 33778 Phone: 727-397-8557 Fax: 727-397-4459 | |
Catherine D Kubiak, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 13145 66th St, Largo, FL 33773 Phone: 727-530-0700 | |
Monroe James King, DO Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 11200 Seminole Blvd, Suite 310, Largo, FL 33778 Phone: 727-397-8557 Fax: 727-397-4459 |