Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
JUSTIN D WASDIN
Active
Individual
JUSTIN D WASDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9110163
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019931500
—
FL
01
—
J2ZXG
FLORIDA BLUE
FL
Enumeration date
01/19/2017
Last updated
10/14/2020
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