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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL JUSTIN WAGONER, M.D.

Active

MICHAEL JUSTIN WAGONER, M.D. is a Anatomic Pathology & Clinical Pathology healthcare provider located in TAMPA, Florida. NPI 1316126337 is currently active in the NPPES registry. Verify at CMS.

Anatomic Pathology & Clinical Pathology · TAMPA, FL

Registration Details

NPI Number
1316126337
Provider Type
Individual
Gender
Male
NPI Issued
Oct 26, 2007 (18.791577618762 yrs)
Last Updated
Jun 22, 2023
Licenses
TRN8871 (FL)
ME103487 (FL)

Practice Information

Address
5426 BEAUMONT CENTER BLVD STE 350
TAMPA, FL, 336345235
Browse FL providers · Browse ZIP 33634
Phone
8132860033
Fax
8132821806
Primary Specialty
Anatomic Pathology & Clinical Pathology
207ZP0102X

Other Anatomic Pathology & Clinical Pathology Providers in TAMPA, FL

Name Credential NPI
JINJUN XIONG MD 1568452993
DR. MICHAEL C MORGAN MD 1427037464
DR. ANNE LOUISE CHAMPEAUX M.D. 1639159296
DR. ROBERT F. RUFFOLO D. O. 1417928995
DR. SIVASELVI GUNASEKARAN M.D. 1912979360
DR. JULIE ELIZABETH VITKO M. D. 1851363204
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.