Individual
MR. ROBERT EDWARD WAZGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 ALTHEA ST, ST AUGUSTINE, FL 32084-2182
(904) 829-9105
Mailing address
9 ALTHEA ST, ST AUGUSTINE, FL 32084-2182
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN3197752
FL
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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