Individual
DR. JASON KANE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N CATTLEMEN RD STE 220, SARASOTA, FL 34232-6422
(941) 371-6565
Mailing address
600 N CATTLEMEN RD STE 220, SARASOTA, FL 34232-6422
(941) 371-6565
(941) 377-7731
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME13985
FL
Other
Enumeration date
06/14/2012
Last updated
09/17/2019
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