KRISTINE L WAGNER
Physician Assistant at 30 St, Hollywood, FL

License number
Florida 9101686
Issued Date
Jul 16, 2001
Effective Date
Mar 3, 2004
Expiration Date
Jan 31, 2018
Category
Health Care
Type
Physician Assistant
Address
Address 2
8283 NW 30Th St, Hollywood, FL 33024
8251 W Broward Blvd SUITE 30, Fort Lauderdale, FL 33324
Phone
(954) 298-6142
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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