Derek Douglas Magnuson in Tampa - Medical
Derek Douglas Magnuson - NPI 1124115126
Derek Douglas Magnuson is a Medical in Tampa, Florida. Derek Douglas Magnuson practices all healthcare services and medical treatments related to Medical. The NPI Number for Derek Douglas Magnuson is 1124115126. The last update date is 2021-01-22.
Derek Douglas Magnuson's current location address is 7550 N Dale Mabry Hwy, Tampa, Florida. You can contact this provider via phone number 8138854706 and fax number 8138859463. The mailing address for Derek Douglas Magnuson is 7550 N Dale Mabry Hwy, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek Douglas Magnuson |
|---|---|
| Address | 7550 N Dale Mabry Hwy, Tampa, Florida |
| Phone Number | 8138854706 |
| Fax Number | 8138859463 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1124115126 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2021-01-22 |
Provider Mailing Address Detail
| Address | 7550 N Dale Mabry Hwy |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336143226 |
| Phone Number | 8138854706 |
| Fax Number | 8138859463 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA9101889 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Derek Douglas Magnuson?
The Derek Douglas Magnuson has been issued the NPI (National Provider Identifier) 1124115126 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Derek Douglas Magnuson is physically located?
The Derek Douglas Magnuson is physically situated at the following address: 7550 N Dale Mabry Hwy, Tampa, FL, 336143226.
What is the Derek Douglas Magnuson's area of specialization and corresponding taxonomy classification?
The Derek Douglas Magnuson's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
When did the Derek Douglas Magnuson receive its 1124115126?
The Derek Douglas Magnuson was issued its 1124115126 on 2006-10-10, which is the date when the organization was assigned this unique identifier.
When was the Derek Douglas Magnuson's information last updated?
The Derek Douglas Magnuson's information was last updated on 2021-01-22.