Individual
AARON MICHAEL WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 N FLAMINGO RD STE 202, PEMBROKE PINES, FL 33028-1008
(954) 844-4664
(954) 265-8373
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
ME129134
FL
2086S0129X
Vascular Surgery Physician
Primary
V2592
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018988000
—
FL
Enumeration date
06/08/2009
Last updated
03/24/2026
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