Individual
KARL ELLSWORTH WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
529 HEALTH BLVD, DAYTONA BEACH, FL 32114-1493
(800) 255-7188
(386) 239-9758
Mailing address
3824 OAKWATER CIR STE 300, ORLANDO, FL 32806-6263
(407) 425-7188
(407) 423-9040
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME120584
FL
Other
Enumeration date
01/14/2009
Last updated
10/28/2020
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