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Dr. Derek Waggoner, PHD
Clinical Laboratory Director (Non-physician) in Miami, Florida
NPI 1336877042

Derek Waggoner is a Clinical Laboratory Director (Non-physician) based in Miami, FL and is specialized in Clinical Laboratory Director, Non-physician. Derek Waggoner practices in Miami, FL and has the professional credentials of PHD. The NPI Number for Derek Waggoner is 1336877042 and holds a License No. DI53685 (Florida).

The current practice location address for Derek Waggoner is 1400 Nw 12Th Ave Ste 4065, Miami, FL and can be reached out via phone at 305-243-6952. You can also correspond with Derek Waggoner through the mailing address at 1400 NW 12TH AVE STE 4065, MIAMI, FL - 33136-1003 (mailing address contact number: 305-243-6952).

Location: 1400 Nw 12Th Ave Ste 4065, Miami, FL, 33136-1003
person
Provider Profile Details
NPI Number
1336877042
Provider Name
Derek Waggoner
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1400 Nw 12Th Ave Ste 4065, Miami, FL, 33136-1003
Phone Number
305-243-6952
Fax Number
Provider Enumeration Date
08/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1400 Nw 12Th Ave Ste 4065
City
State
Zip
33136-1003
Phone Number
305-243-6952
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Nw 12Th Ave Ste 4065
City
State
Zip
33136-1003
Phone Number
305-243-6952
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
License No.
DI53685 (Florida)
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
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