Individual
ALBERT GORTON WAITE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 BALMY BEACH DR, APOPKA, FL 32703-5937
(407) 457-6293
Mailing address
820 BALMY BEACH DR, APOPKA, FL 32703-5937
(407) 457-6293
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS59580
FL
Other
Enumeration date
10/13/2019
Last updated
10/13/2019
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