Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WAYNE DIEDRICK, PA
Active Sole ProprietorWAYNE DIEDRICK, PA is a Surgical Physician Assistant healthcare provider located in HOLLYWOOD, Florida. NPI 1083626386 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · HOLLYWOOD, FL
Registration Details
- NPI Number
- 1083626386
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 13, 2006 (19.963841198928 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA3021 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3501 JOHNSON STHOLLYWOOD, FL, 330215421Browse FL providers · Browse ZIP 33021
- Phone
- 9549872020
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in HOLLYWOOD, FL
| Name | Credential | NPI |
|---|---|---|
| LOUIS CARLISLE | PA | 1023020310 |
| MAGDALENA MARIE GONZALEZ | PA | 1700992559 |
| KRYSTAL M BUCKLAND | PA-C | 1467538462 |
| KELSEY LYNNE KINSELLA | — | 1366673725 |
| ARMAAL RASHARD HUNTER | PA-C | 1831418458 |
| MRS. ODALIS CASTELLON | PHYSICIAN ASSISTANT | 1306120746 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.