IndividualActive
Andrew Wagner
NPI 1215317888 · Vascular & Interventional Radiology Physician · Orlando, FL
Provider details
- NPI number
- 1215317888
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 266705 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
52 W Underwood St
Orlando, FL 32806-1110
Phone: (321) 842-8475
Approximate (ZIP-level) locationGet directions
Mailing address
52 W Underwood St
Orlando, FL 32806-1110
Registry dates
- Enumerated
- 2015-06-08
- Last updated
- 2023-03-28
- Certified
- 2023-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.