JENNIFER WAGNER INC NPI 1467846956

NPI Information

NPI: 1467846956
Provider Name: JENNIFER WAGNER INC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
20201 NE 21ST AVE
MIAMI, FL
ZIP 33179
Phone: (305) 987-4443
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JENNIFER WAGNER INC is a surgical physician assistant in Miami, FL. JENNIFER WAGNER INC NPI is 1467846956. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

20201 NE 21ST AVE
MIAMI, FL
ZIP 33179-804
Phone: (305) 987-4443

The provider's authorized official is Jennifer Wagner .
The authorized official title is Owner and has the following contact phone number (305) 987-4443.

The enumeration date for this NPI number is 3/24/2015 and was last updated on 3/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA9101701	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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