Individual
EMILY WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
125 W COPELAND DR, ORLANDO, FL 32806-2101
(321) 841-7090
(321) 843-2267
Mailing address
125 W COPELAND DR, ORLANDO, FL 32806-2101
(321) 841-7090
(321) 843-2267
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA9119411
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126273800
—
FL
Enumeration date
10/14/2024
Last updated
07/02/2025
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