Individual
DR. BRUCE WAXMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4398 HICKORY DR, PALM BEACH GARDENS, FL 33418-3906
(561) 312-7004
Mailing address
4398 HICKORY DR, PALM BEACH GARDENS, FL 33418-3906
(561) 312-7004
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0028598
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057908400
—
FL
Enumeration date
07/21/2006
Last updated
10/03/2012
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