Dr. Johana Beatriz Castro Wagner
Allergist & Immunologist
11200 Seminole Blvd Ste 310
Largo
, Florida 33778-3239
Dr. Johana Beatriz Castro Wagner
Allergist & Immunologist
11200 Seminole Blvd Ste 310
Largo
, Florida 33778-3239
(727) 397-4459
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Dr. Johana Beatriz Castro Wagner
- 11200 Seminole Blvd Ste 310
- Largo, FL
- Zip : 33778-3239
- Fax : (727) 397-4459
- Phone : (727) 397-8557
Second Address
- Dr. Johana Beatriz Castro Wagner
- 11200 Seminole Blvd Ste 310
- Largo, FL
- Zip : 33778-3239
- Fax : (727) 397-4459
- Phone : (727) 397-8557
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | ME124372 | FL |
National Provider Identifier
| NPI | 1003175126 |
|---|---|
| Provider Name | Dr. Johana Beatriz Castro Wagner |
| First Address | Largo, FL 33778-3239 |
| Second Address | Largo, FL 33778-3239 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/05/2012 |
| Last Update Date | 03/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.