Wayne Diedrick is a Surgical in Hollywood, Florida. Wayne Diedrick practices all healthcare services and medical treatments related to Surgical. The NPI Number for Wayne Diedrick is 1083626386. The last update date is 2007-07-08.
Wayne Diedrick's current location address is 3501 Johnson St, Hollywood, Florida. You can contact this provider via phone number 9549872020. The mailing address for Wayne Diedrick is 3501 Johnson St, Hollywood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wayne Diedrick |
|---|---|
| Address | 3501 Johnson St, Hollywood, Florida |
| Phone Number | 9549872020 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1083626386 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3501 Johnson St |
|---|---|
| City | Hollywood |
| State | Florida (FL) |
| Post Code | 330215421 |
| Phone Number | 9549872020 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA3021 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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What is the Wayne Diedrick's 1083626386?
The Wayne Diedrick's NPI (National Provider Identifier) Number is 1083626386. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Wayne Diedrick's facilities are situated?
The facilities of Wayne Diedrick are physically located at the following address: 3501 Johnson St, Hollywood, FL, 330215421.
What is the Wayne Diedrick's area of specialization and corresponding taxonomy classification?
The Wayne Diedrick's specialty field is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their specialties.
On what date was the 1083626386 assigned to Wayne Diedrick?
The Wayne Diedrick was issued its 1083626386 on 2006-08-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Wayne Diedrick most recently updated?
The details pertaining to the Wayne Diedrick, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.