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Individual

BRIAN WAGSTAFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1501 GOVERNMENT RD, KEY WEST URGENT CARE, KEY WEST, FL 33040-5108
(305) 295-7550
(305) 296-3010
Mailing address
1501 GOVERNMENT RD, KEY WEST URGENT CARE, KEY WEST, FL 33040-5108
(305) 295-7550
(305) 296-3010

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME92309
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME92309
MD
FL
Enumeration date
06/17/2006
Last updated
12/17/2019
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