Individual
JAY WADDADAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2150 SE SALERNO RD, STE 200, STUART, FL 34997-6572
(772) 223-5757
(772) 223-5789
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-2832
(772) 223-5646
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME117635
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010232800
—
FL
01
—
14T5J
FLORIDA BLUE
FL
Enumeration date
01/19/2007
Last updated
10/15/2020
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