# MICHAEL WAHL MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144415126
- **Authorized official:** DR. MICHAEL J WAHL MD (PRESIDENT)
- **Authorized official phone:** (727) 869-9300

## Contact information

- **Practice address:** 13910 LAKESHORE BLVD, STE 140, HUDSON, FL 34667
- **Practice address phone:** (727) 869-9300
- **Practice address fax:** (727) 869-0636
- **Mailing address:** 13910 LAKESHORE BLVD, STE 140, HUDSON, FL 34667
- **Mailing address phone:** (727) 869-9300
- **Mailing address fax:** (727) 869-0636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | ME62494 | FL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 09/12/2007
- **Last updated:** 12/17/2009