Wagner, Kyle
Wagner, Kyle is an individual health care provider with primary practice located at 1400 Se Goldtree Dr Ste 205 , Port Saint Lucie FL 34952-7583. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Wagner, Kyle can be contacted via phone (772) 335-7966.Contact Information
Primary practice address
1400 Se Goldtree Dr Ste 205
Port Saint Lucie FL 34952-7583
Phone: (772) 335-7966
Fax: (772) 335-7963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | PT38044 | Florida |
Profile Details
| NPI number | 1427709492 |
|---|---|
| LBN Legal business name | Wagner, Kyle |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2022 |
| Last updated | Jan 12th, 2022 - about 2 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.
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