Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Derek Waggoner, PHD

Individual provider Clinical Laboratory Director (Non-physician) · NPI 1336877042

Dr. Derek Waggoner, PHD is a Clinical Laboratory Director (Non-physician) in Miami, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

1400 NW 12th Ave Ste 4065
Miami, FL 33136-1003
Phone: (305) 243-6952
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Laboratory Director (Non-physician) (primary) Taxonomy 247ZC0005X · Licence DI53685 (FL)

Record details

NPI number1336877042
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 10, 2022
Last updated in NPPESAugust 10, 2022
Certification dateAugust 10, 2022
Mailing address1400 Nw 12th Ave Ste 4065, Miami, FL 33136-1003

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