Oral A Waldo MD

NPI 1124313176 - Internal Medicine - 207R00000X

NPI Details
NPI 1124313176
Gender Male
Enumeration Date 06/17/2011
Last Updated 09/23/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
4500 SAN PABLO RD S
PROVIDER ENROLLMENT
JACKSONVILLE FL, 32224-1865, US
Phone (904) 953-2000
Fax
Business Location
4500 SAN PABLO RD S
PROVIDER ENROLLMENT
JACKSONVILLE FL, 32224-1865, US
Phone (904) 953-2000
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number TRN16011
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According to our database, Oral A Waldo MD NPI is 1124313176, taxonomy code is 207R00000X and license number is TRN16011, license state is located at Florida. Oral A Waldo MD physically located at 4500 San Pablo Rd S, Jacksonville FL, 32224-1865. NPI Number Oral A Waldo MD has the Individual type.

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1124313176 NPI number is provided on an as is basis without warranty of any kind. 1124313176 is maintained by the National Plan & Provider Enumeration System. The contents of Oral A Waldo MD are for informational purposes only.