Wagner, Adriana L
Wagner, Adriana L is an individual health care provider with primary practice located at 11320 Scribner Station Ln , Lithia FL 33547. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Wagner, Adriana L can be contacted via phone (813) 707-4774.Contact Information
Primary practice address
11320 Scribner Station Ln
Lithia FL 33547
Phone: (813) 707-4774
Fax: (813) 949-7535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | Florida |
Profile Details
| NPI number | 1346497203 |
|---|---|
| LBN Legal business name | Wagner, Adriana L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2008 |
| Last updated | Aug 27th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346497203 | NPPES |
| Florida | MEDICAID | 222Q00000X |
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