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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

ABRAHAM WAGNER, DPM
21097 NE 27TH CT STE 110
AVENTURA, FL33180-1206
 Phone: 305-652-6676
 Fax: 305-932-6335
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ABRAHAM WAGNER · (Male)

NPI Number 1073664132
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 01/16/2007
Last updated 09/03/2014 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
FL License # PO 3262
FL Medicare OSCAR/Certification AD412X
Hospital affiliation(s)
  • AVENTURA HOSPITAL AND MEDICAL CENTER - (Acute Care)
    20900 BISCAYNE BLVD
    AVENTURA, FL 33180
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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