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NPI Code Detail

MEDICARE: DR. CURTIS B WAGNER DPM

MEDICARE:  DR. CURTIS B WAGNER  DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatristPO1734FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972615037
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CURTIS B WAGNER DPM
Provider Business Mailing Address
First Line : 7350 SANDLAKE COMMONS BLVD STE 1102
Second Line :
City : ORLANDO
State : FL
Zip : 32819-8031
Country : US
Telephone Number : 407-345-5211
Fax Number : 855-440-6723
Provider Business Practice Location Address
First Line : 7350 SANDLAKE COMMONS BLVD STE 1102
Second Line :
City : ORLANDO
State : FL
Zip : 32819-8031
Country : US
Telephone Number : 407-345-5211
Fax Number : 855-440-6723
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 03/18/2026

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Directions to “ DR. CURTIS B WAGNER DPM” Practice Location

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