# RONALD BALDWIN O.D. P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578789590
- **Authorized official:** DR. RONALD BALDWIN O.D. (PRESIDENT)
- **Authorized official phone:** (772) 201-6211

## Contact information

- **Practice address:** 2475 W INTERNATIONAL SPEEDWAY BLVD, SUITE 100, DAYTONA BEACH, FL 32114-1117
- **Practice address phone:** (386) 253-3400
- **Mailing address:** 2475 W INTERNATIONAL SPEEDWAY BLVD, SUITE 100, DAYTONA BEACH, FL 32114-1117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3773 | FL | Yes |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 08/22/2020