STEPHEN R WAGNER
Medical Practice at Merrivale Ct, New Port Richey, FL

License number
Florida 69333
Issued Date
Aug 6, 1992
Effective Date
Oct 23, 2016
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address
2406 Merrivale Ct, New Port Richey, FL 34655
Phone
(727) 375-8289
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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