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Wayne Diedrick, PA
Surgical Physician Assistant in Hollywood, Florida
NPI 1083626386

Wayne Diedrick is a Surgical Physician Assistant based in Orlando, FL and is specialized in Surgical. Wayne Diedrick practices in Hollywood, FL and has the professional credentials of PA. The NPI Number for Wayne Diedrick is 1083626386 and holds a License No. PA3021 (Florida).

The current practice location address for Wayne Diedrick is 3501 Johnson St, Hollywood, FL and can be reached out via phone at 954-987-2020.

Location: 3501 Johnson St, Hollywood, FL, 32886-2233
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083626386
Provider Name
Wayne Diedrick
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
3501 Johnson St, Hollywood, FL, 32886-2233
Phone Number
954-987-2020
Fax Number
Provider Enumeration Date
08/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3501 Johnson St
City
Hollywood
State
Florida
Zip
33021-5421
Phone Number
954-987-2020
Fax Number
person
Provider Business Mailing Address Details
Address
3501 Johnson St
City
Hollywood
State
Florida
Zip
33021-5421
Phone Number
954-987-2020
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA3021 (Florida)
Definition
Definition to come...
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