# AFFINITY HEALTHCARE CENTER AT WATERFORD LAKES, P.L.

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

## Provider details

- **NPI number:** 1700058534
- **Authorized official:** DR. BRENT BALDASARE (PRINCIPLE PARTNER)
- **Authorized official phone:** (407) 381-4040

## Contact information

- **Practice address:** 779 N ALAFAYA TRL, ORLANDO, FL 32828-7047
- **Practice address phone:** (407) 381-4040
- **Mailing address:** 779 N ALAFAYA TRL, ORLANDO, FL 32828-7047
- **Mailing address phone:** (407) 381-4040
- **Mailing address fax:** (407) 381-2277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/01/2008
- **Last updated:** 03/10/2021