Bruce Wagner, PHYSICIAN ASSISTANT is a surgical physician assistant in Longwood, FL. Bruce Wagner, PHYSICIAN ASSISTANT NPI is 1215351697. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1410 CANAL POINT RD
LONGWOOD, FL
ZIP 32750-562
Phone: (407) 832-2955
Fax: (407) 339-2955
The enumeration date for this NPI number is 2/6/2014 and was last updated on 2/6/2014.