ABRAHAM WAGNER DPM PA
Podiatry at 92 St, Miami, FL

License number
Florida PO3262
Category
Podiatry
Type
Podiatrist
Owner
Name: DR. ABRAHAM WAGNER DPM
Title: PRESIDENT
Phone: (305) 652-6676
Address
Address
8600 SW 92Nd St SUITE 201, Miami, FL 33156
National Provider ID: 1821409343
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ABRAHAM WAGNER, DPM, PA

Miami, FL

Industry:
Medical Doctor's Office
Registration:
Dec 27, 2006
Addresses:
20201 NE 21 Ave, Miami, FL 33179 (Physical)
3330 NE 190 St, Miami, FL 33180
State ID:
P06000157176
Business type:
Florida Profit Corporation
Director:
Abraham Dpm Wagner (Director), 20201 NE 21 Ave, Miami, FL 33179 (Physical)
Agent:
Wagner, Abraham,20201 NE 21 Ave, Miami, FL 33179 (Physical)
EIN:
260277191

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