Individual
DR. EDDIE CLARK WALDHEIM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
402 LAKE HOWELL RD, MAITLAND, FL 32751-5907
(407) 628-4312
(407) 628-1845
Mailing address
402 LAKE HOWELL RD, MAITLAND, FL 32751-5907
(407) 628-4312
(407) 628-1845
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME46344
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370808000
—
FL
Enumeration date
09/06/2006
Last updated
04/22/2008
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