Wagner, Samantha Ann
Wagner, Samantha Ann is an sole proprietor health care provider with primary practice located at 20747 Sterlington Dr , Land O Lakes FL 34638-4317. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wagner, Samantha Ann can be contacted via phone (813) 815-2947.Contact Information
Primary practice address
20747 Sterlington Dr
Land O Lakes FL 34638-4317
Phone: (813) 815-2947
Fax: (813) 948-0094
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY11685 | Florida |
Profile Details
NPI number | 1457078735 |
---|---|
LBN Legal business name | Wagner, Samantha Ann |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 26th, 2022 |
Last updated | Oct 26th, 2022 - about 3 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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