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:
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Health care specialties

SpecialtyCodeLicense #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 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497748404 NPPES
Florida MEDICAID 281097200
Florida Other ME91509

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