Individual
CASEY WAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2216 34TH ST S, SAINT PETERSBURG, FL 33711-3226
(727) 321-3854
(727) 800-5829
Mailing address
701 94TH AVE N STE 250, SAINT PETERSBURG, FL 33702-2448
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9667990
FL
363LF0000X
Family Nurse Practitioner
Primary
9667990
FL
Other
Enumeration date
12/18/2024
Last updated
11/04/2025
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