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:
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Health care specialties

SpecialtyCodeLicense #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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