Individual
BRADLEY WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 S TAMIAMI TRL, OSPREY, FL 34229-9668
(941) 477-2101
(941) 303-8188
Mailing address
2101 S TAMIAMI TRL, OSPREY, FL 34229-9668
(941) 477-2101
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS3407
FL
Other
Enumeration date
03/30/2015
Last updated
02/09/2023
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