Waggoner, Derek

Waggoner, Derek is an individual health care provider with primary practice located at 1400 Nw 12Th Ave Ste 4065 , Miami FL 33136-1003. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician, which is considered as his primary health care specialty. Waggoner, Derek can be contacted via phone (305) 243-6952.

Contact Information

Primary practice address
1400 Nw 12Th Ave Ste 4065 Miami FL 33136-1003
Phone: (305) 243-6952
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician 247ZC0005X DI53685 Florida

Profile Details

NPI number 1336877042
LBN Legal business name Waggoner, Derek
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2022
Last updated Aug 10th, 2022 - about 3 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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