Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHNATHAN LIVINGSTON WAGNER, BS,DC
Active Sole ProprietorOrthopedic (Chiropractor) · DAYTONA BEACH, FL
Registration Details
- NPI Number
- 1881628220
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2006 (19.782861899436 yrs)
- Last Updated
- Feb 15, 2008
- License
-
CH8731 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
542 N RIDGEWOOD AVEDAYTONA BEACH, FL, 321142170Browse FL providers · Browse ZIP 32114
- Phone
- 3862587494
- Fax
- 3862530365
- Primary Specialty
-
Orthopedic (Chiropractor)
111NX0800X
Other Orthopedic (Chiropractor) Providers in DAYTONA BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES C ANTOS | D.C. | 1407863988 |
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.