Wiedenmann, Scott David
Wiedenmann, Scott David is an individual health care provider with primary practice located at 128 Lagoon Forest Dr , Ponte Vedra Beach FL 32082-2122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wiedenmann, Scott David can be contacted via phone (904) 273-9591.Contact Information
Primary practice address
128 Lagoon Forest Dr
Ponte Vedra Beach FL 32082-2122
Phone: (904) 273-9591
Fax: (904) 273-9591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME51674 | Florida |
Profile Details
| NPI number | 1245340744 |
|---|---|
| LBN Legal business name | Wiedenmann, Scott David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Mar 24th, 2012 - about 12 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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