Individual
MICHAEL WAUDO WANGIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1991 DANIELS RD, WINTER GARDEN, FL 34787
(407) 395-3770
(407) 395-3779
Mailing address
600 VILLAGE SQUARE XING, PALM BEACH GARDENS, FL 33410-4543
(561) 693-0540
(561) 296-6174
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME112379
FL
207ND0101X
MOHS-Micrographic Surgery Physician
ME112379
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009500800
—
FL
Enumeration date
05/29/2009
Last updated
09/28/2020
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