Provider Demographics
NPI:1467888388
Name:HOYT, WADE T (RNFA, CSFA)
Entity Type:Individual
Prefix:MR
First Name:WADE
Middle Name:T
Last Name:HOYT
Suffix:
Gender:M
Credentials:RNFA, CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 KENSINGTON LAKE CIR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-3874
Mailing Address - Country:US
Mailing Address - Phone:813-486-9110
Mailing Address - Fax:813-643-6901
Practice Address - Street 1:611 KENSINGTON LAKE CIR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-3874
Practice Address - Country:US
Practice Address - Phone:813-486-9110
Practice Address - Fax:813-643-6901
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9298966163WR0006X
246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant