Dr MICHAEL JUSTIN WAGONER is a male medical professional, specializing in Pathology. He graduated in 2005 from University Of South Florida College Of Medicine.
WOMENS CARE FLORIDA LLC
1503 W REYNOLDS ST
TAMPA BAY WOMENS CARE
PLANT CITY
FL
335634733
Tel: 8136816625
| Npi | 1316126337 |
| Pac Id | 8820214950 |
| Professional Enrollment Id | I20140728000423 |
| Last Name | WAGONER |
| First Name | MICHAEL |
| Middle Name | JUSTIN |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | PATHOLOGY |
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| Organization Legal Name | WOMENS CARE FLORIDA LLC |
| Group Practice Pac Id | 9234031444 |
| Number Of Group Practice Members | 284 |
| Line 1 Street Address | 1503 W REYNOLDS ST |
| Line 2 Street Address | TAMPA BAY WOMENS CARE |
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| City | PLANT CITY |
| State | FL |
| Zip Code | 335634733 |
| Phone Number | 8136816625 |
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| Professional Accepts Medicare Assignment | Y |
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