MR. DAVID MICHAEL WAGNER


Address: 8335 40th Ave N, St Petersburg, FL 33709-3934
Phone: 7273440315

MR. DAVID MICHAEL WAGNER (NPI# 1538236757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538236757
Entity Type Individual
Full Name MR. DAVID MICHAEL WAGNER
Credential LMHC
Practice Address 8335 40th Ave N
St Petersburg
FL 33709-3934
Practice Telephone 7273440315
Practice Fax Number 7273440315
Mailing Telephone 7273440315
Mailing Fax Number 7273440315
Enumeration Date 2006-11-30
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
MH1455 FL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL LMHC LICENSE NUMBER MH1455 01

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Office Location

Street Address 8335 40TH AVE N
City ST PETERSBURG
State FL
Zip Code 33709-3934

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770110637 Mylien Le Registered Nurse 6001 49th Street North, St Petersburg, FL 33709 2020-03-23
1457885063 Kamlesh Rajani Pharmacist 5985-b 49th Street North, Saint Petersburg, FL 33709 2017-04-20
1417382912 Farhan Hooda Internal Medicine The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 2013-09-04
1558702605 Walgreens Clinic/Center 3994 Tyrone Blvd, Saint Petersburg, FL 33709 2013-07-17
1437417607 Jeri Devale Social Worker 6241 43rd Ter N, Kenneth City, FL 33709 2012-04-25
1528340643 Steven E. Allbritton Pharmacist 5405 66th Street N., Saint Petersburg, FL 33709 2011-09-14
1043537335 Milan Ravindra Patel Internal Medicine 3901 66th St N Ste 201, St Petersburg, FL 33709 2010-04-26
1134454713 Eye Designs Optical and Vision Care, LLC Optometrist 3831 Tyrone Boulevard, St. Petersburg, FL 33709 2009-10-15
1487827069 Jose Manuel Garcia Dentist 4911 Park Street North, St Petersburg, FL 33709 2008-04-04
1104097427 Stanley D Grimmel Chiropractor 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 2008-03-13
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1568862597 Catherine L Gibson Counselor 534 93rd Ave N, St Petersburg, FL 33702-3038 2014-08-27
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1891263356 Ashley Lynn Caputo Counselor 735 Arlington Ave N Ste 210, St Petersburg, FL 33701-3653 2018-11-02
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1770198129 Jeanine Smith Counselor 7433 Se Marsh Fern Ln, Hobe Sound, FL 33455-7844 2020-09-12
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Competitor

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City ST PETERSBURG
Zip Code 33709

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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