Individual
JONATHAN WALDBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
740 W PLYMOUTH AVE, DELAND, FL 32720-3282
(386) 734-9122
(833) 450-4859
Mailing address
740 WEST PLYMOUTH AVENUE, DELAND, FL 32720
(386) 734-9122
(386) 736-4348
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME97272
FL
Other
Enumeration date
07/21/2005
Last updated
04/17/2024
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