Individual
DR. WAYNE PETER DIGIACOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3001 W HALLANDALE BEACH BLVD, SUITE 200, HALLANDALE BEACH, FL 33009-5155
(954) 456-4888
(954) 456-9721
Mailing address
3001 W HALLANDALE BEACH BLVD, SUITE 200, HALLANDALE BEACH, FL 33009-5155
(954) 456-4888
(954) 456-9721
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME0034571
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065501599
—
FL
01
—
ME0034571
STATE LICENSE
FL
Enumeration date
04/19/2006
Last updated
09/15/2008
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