BRUCE D WAGNER
Physician Assistant at Canal Pt Rd, Longwood, FL

License number
Florida 1586
Issued Date
Jul 1, 1987
Effective Date
Feb 27, 2008
Expiration Date
Jan 31, 2006
Category
Health Care
Type
Physician Assistant
Address
Address
1410 Canal Point Rd, Longwood, FL 32750
Phone
(407) 623-6456
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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