Kyle Marie Waggoner in Tampa - Foot & Ankle Surgery

Kyle Marie Waggoner - NPI 1952573941

Kyle Marie Waggoner is a Foot & Ankle Surgery in Tampa, Florida. Kyle Marie Waggoner practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Kyle Marie Waggoner is 1952573941. The last update date is 2018-05-08.

Kyle Marie Waggoner's current location address is 13330 Usf Laurel Dr, Tampa, Florida. You can contact this provider via phone number 8139742201. The mailing address for Kyle Marie Waggoner is 13330 Usf Laurel Dr, Tampa, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kyle Marie Waggoner
Address 13330 Usf Laurel Dr, Tampa, Florida
Phone Number 8139742201
Fax Number
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1952573941
Provider Enumeration Date 2008-03-31
Last Updated Date 2018-05-08

Provider Mailing Address Detail

Address 13330 Usf Laurel Dr
City Tampa
State Florida (FL)
Post Code 336126601
Phone Number 8139742201
Fax Number

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No PO3288
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6501B FL BLUE CROSS BLUE SHIELD
24263600 FL --

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FAQs about Kyle Marie Waggoner

What is the unique 10-digit identification code assigned to Kyle Marie Waggoner by the Centers for Medicare & Medicaid Services?

The Kyle Marie Waggoner has been issued the NPI (National Provider Identifier) 1952573941, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Kyle Marie Waggoner is geographically located?

The Kyle Marie Waggoner is physically situated at the following location: 13330 Usf Laurel Dr, Tampa, FL, 336126601.

What is the Kyle Marie Waggoner's area of specialization and corresponding taxonomy classification?

The Kyle Marie Waggoner's specialty field is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1952573941 to Kyle Marie Waggoner?

The Centers for Medicare & Medicaid Services assigned the 1952573941 to Kyle Marie Waggoner on 2008-03-31.

As of what date were the details related to Kyle Marie Waggoner most recently updated or revised?

The information pertaining to Kyle Marie Waggoner, including its address, specialty, and other relevant details, was last updated or revised on 2018-05-08.

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