Dr. Michael J Wahl
Cardiothoracic Vascular Surgeon
13910 Lakeshore Blvd Suite 140
Hudson
, Florida 34667-1481
Dr. Michael J Wahl
Cardiothoracic Vascular Surgeon
13910 Lakeshore Blvd Suite 140
Hudson
, Florida 34667-1481
(727) 869-0636
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Michael J Wahl
- 13910 Lakeshore Blvd Suite 140
- Hudson, FL
- Zip : 34667-1481
- Fax : (727) 869-0636
- Phone : (727) 869-9300
Second Address
- Dr. Michael J Wahl
- 13910 Lakeshore Blvd Suite 140
- Hudson, FL
- Zip : 34667-1481
- Fax : (727) 869-0636
- Phone : (727) 869-9300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME0062494 | FL |
National Provider Identifier
| NPI | 1114017142 |
|---|---|
| Provider Name | Dr. Michael J Wahl |
| First Address | Hudson, FL 34667-1481 |
| Second Address | Hudson, FL 34667-1481 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2006 |
| Last Update Date | 23/10/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 002224500 | (05) | FL |
| 280177900 | (05) | FL |
| 370704100 | (05) | FL |
| F30238 | (02) | FL |
| P00444360 | PGBA - RAILROAD MEDICARE (01) |
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.