Individual
DR. DWAYNE K BADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8055 SPYGLASS HILL RD STE 102, MELBOURNE, FL 32940-8564
(321) 255-8080
(321) 242-2313
Mailing address
8055 SPYGLASS HILL RD STE 102, MELBOURNE, FL 32940-8564
(321) 255-8080
(321) 242-2313
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME91509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281097200
—
FL
01
—
ME91509
FLORIDA MEDICAL LICENSE
FL
Enumeration date
08/24/2005
Last updated
03/31/2025
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