Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Justin Wagoner, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316126337

Michael Justin Wagoner, MD is a Pathology in Tampa, Florida. Graduated from University of South Florida College of Medicine in 2005, 21 years ago. Practices with Womens Care Florida LLC, a 330-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
21
Trained at
University of South Florida College of Medicine
Licensed in
FL
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Tampa, FL

Additional practice locations (2)

  • 5002 W Lemon St, Tampa, FL 33609 — (813) 286-0033
  • 10000 Bay Pines Blvd, Bay Pines, FL 33744 — (727) 398-6661

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence ME103487 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence TRN8871 (FL)

Record details

NPI number1316126337
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 26, 2007
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Womens Care Florida Llc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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