Badgett, Dwayne K
Badgett, Dwayne K is an individual health care provider with primary practice located at 8055 Spyglass Hill Rd Suite 102, Melbourne FL 32940-8564. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Badgett, Dwayne K can be contacted via phone (321) 255-8080.Contact Information
Primary practice address
8055 Spyglass Hill Rd Suite 102
Melbourne FL 32940-8564
Phone: (321) 255-8080
Fax: (321) 242-2313
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ME91509 | Florida |
Profile Details
NPI number | 1497748404 |
---|---|
LBN Legal business name | Badgett, Dwayne K |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 24th, 2005 |
Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497748404 | NPPES |
Florida | MEDICAID | 281097200 | |
Florida | Other | ME91509 |
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