Individual
ANAGHA S WAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSCOT
Contact information
Practice address
5959 SUN N LAKE BLVD, SEBRING, FL 33872-2075
(863) 471-6128
Mailing address
4514 BREAM AVE, SEBRING, FL 33870-1012
(863) 314-0214
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT-4560
FL
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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