Most Relevant Information
Provider Data
| NPI Number: | 1003175126 |
| Provider Name: | JOHANA BEATRIZ CASTRO WAGNER M.D |
| Entity Type: | Individual |
| Taxonomy Code: | 207K00000X |
| Specialty: | Allergy & Immunology |
| License Number: | ME124372 |
Most Important Dates
| Enumeration Date: | 05/09/2012 |
| Last Updated: | 09/03/2020 |
Provider Practice Location
11200 SEMINOLE BLVD STE 310
LARGO
FL
337783239
Practice Location Phone/Fax
| Phone: | 7273978557 |
| Fax: | 7273974459 |
Provider Mailing Location
11200 SEMINOLE BLVD STE 310
LARGO
FL
337783239
Provider Mailing Phone/Fax
| Phone: | 7273978557 |
| Fax: | 7273974459 |