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DR. DEREK WAGGONER PHD
NPI 1336877042
Pathology - Clinical Laboratory Director, Non-physician in Miami, FL

Active since August 10, 2022
1400 NW 12TH AVE STE 4065, MIAMI, FL 33136(305) 243-6952 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Derek Waggoner Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEREK WAGGONER PHD (NPI 1336877042) is an individual clinical laboratory director, non-physician in Miami, Florida, licensed in Florida (DI53685) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1336877042
Entity TypeIndividualMale
Primary Taxonomy247ZC0005X
Provider Legal NameDR. DEREK WAGGONERCredential: PHD
Location Address1400 NW 12TH AVE STE 4065Miami, FL 33136-1003
Mailing Address1400 Nw 12th Ave Ste 4065Miami, FL 33136-1003 · (305) 243-6952
Phone(305) 243-6952
Sole ProprietorNo
Enumeration DateAugust 10, 2022
NPPES CertifiedAugust 10, 2022
✔ NPI 1336877042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
License✔ Licensed in FL · DI53685
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.
1400 NW 12TH AVE STE 4065, Miami, FL 33136
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Maintenance Organization of Florida.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Waggoner's NPI number?

The NPI number for Derek Waggoner is 1336877042. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Where is Derek Waggoner located?

Derek Waggoner practices at 1400 NW 12th Ave Ste 4065, Miami, FL 33136. The listed phone number is (305) 243-6952.

What is Derek Waggoner's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

What insurance does Derek Waggoner accept?

Health plans from Molina Healthcare and Oscar Health Maintenance Organization of Florida list Derek Waggoner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derek Waggoner was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.