| Bruce Wagner, PHYSICIAN ASSISTANT | |
|
1410 Canal Point Rd, Longwood, FL 32750-4562 | |
| (407) 832-2955 | |
| (407) 339-2955 |
| Full Name | Bruce Wagner |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 1410 Canal Point Rd, Longwood, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215351697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA9107368 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Wagner, PHYSICIAN ASSISTANT 1410 Canal Point Rd, Longwood, FL 32750-4562 Ph: (407) 832-2955 | Bruce Wagner, PHYSICIAN ASSISTANT 1410 Canal Point Rd, Longwood, FL 32750-4562 Ph: (407) 832-2955 |
Mr. Thomas Corkery Jr., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2290 N Ronald Reagan Blvd Ste 116, Longwood, FL 32750 Phone: 407-215-0095 | |
Michael Lee Sampson, ARNP Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 515 W State Road 434, Ste 203, Longwood, FL 32750 Phone: 407-265-7775 Fax: 407-265-2266 | |
Connor J Mcvey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 455 W Warren Ave, Longwood, FL 32750 Phone: 407-262-2220 Fax: 407-834-5011 | |
Amjad A Shaikh, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 450 W Sr 434 Ste 3010, Longwood, FL 32750 Phone: 407-767-8200 Fax: 407-339-1200 | |
Mrs. Melody Marie Johnson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 357 Wekiva Springs Rd, Longwood, FL 32779 Phone: 407-862-1163 Fax: 407-774-1877 | |
Kailey Koontz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2180 W State Road 434 Ste 1124, Longwood, FL 32779 Phone: 321-972-1741 |