Individual
DR. DWAGNE HASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4895 W WATERS AVE, TAMPA, FL 33634-1316
(813) 355-8877
Mailing address
4895 W WATERS AVE, TAMPA, FL 33634-1316
(813) 355-8877
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
33998
FL
225100000X
Physical Therapist
PT5155
NM
Other
Enumeration date
09/29/2017
Last updated
04/28/2022
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