Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARSON LEE WAGNER
Active Sole ProprietorCARSON LEE WAGNER is a Physician Assistant healthcare provider located in OVIEDO, Florida. NPI 1063060796 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · OVIEDO, FL
Registration Details
- NPI Number
- 1063060796
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 27, 2019 (6.7819375394935 yrs)
- Last Updated
- Oct 20, 2019
- License
-
PA9112577 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1071 CALLA LILY CVOVIEDO, FL, 327660003Browse FL providers · Browse ZIP 32766
- Phone
- 4074091616
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in OVIEDO, FL
| Name | Credential | NPI |
|---|---|---|
| MARTINA MARIE NIMETH | PA-C | 1922048875 |
| VINCENT POLICH | PA | 1134238124 |
| KIMMAI MAGALI LONSDORFER | PA | 1023115813 |
| JACOB EUGENE PHILLIPS | PA-C | 1306140017 |
| CHRISTOPHER A NEY | PA-C | 1376822668 |
| MR. CARLOS ANGEL ROMERO | PA | 1689927220 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.