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Search › Florida › 247ZC0005X

Derek Waggoner, PHD

NPI 1336877042 · on the registry since 2022

Practice

Address
1400 Nw 12th Ave Ste 4065
Miami, FL 33136
Phone
(305) 243-6952
Organisation at this address
Walgreen Co
Fahed Fayad Md Pa
Uiversity Of Miami
University Of Miami
University Of Miami
Inferred from a shared address, not stated in the registry.
Clinicians at this address
616

Registry record

Primary taxonomy
247ZC0005X
247ZC0005X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida