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Individual

DR. JAMES MAXWELL WELDEN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 200-2355
Mailing address
2600 WESTHALL LN FL 4, MAITLAND, FL 32751-7102
(407) 200-2355

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
106927
FL
208D00000X
General Practice Physician
26285
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
510005432
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
05
51555674
AL
01
P00214262
MEDICARE RAILROAD
AL
Enumeration date
10/23/2006
Last updated
04/11/2016
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