DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DEREK WAGGONER, PHD

Active

247ZC0005X · MIAMI, FL

Registration Details

NPI Number
1336877042
Provider Type
Individual
Gender
Male
NPI Issued
Aug 10, 2022 (3.6992788274448 yrs)
Last Updated
Aug 10, 2022
License
DI53685 (FL)

Practice Information

Address
1400 NW 12TH AVE STE 4065
MIAMI, FL, 331361003
Browse FL providers · Browse ZIP 33136
Phone
3052436952
Primary Specialty
247ZC0005X
247ZC0005X

Other 247ZC0005X Providers in MIAMI, FL

Name Credential NPI
KAZUNORI MURATA PHD 1730499203
KATIE THOREN PHD 1962806232
MR. CHARLES REGO 1780069724
FELIX ROTH PHD 1558242479
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.