Individual
MARK A WAELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10131 FOREST HILL BLVD STE 206, WELLINGTON, FL 33414-6109
(561) 798-6600
(561) 753-3328
Mailing address
10131 FOREST HILL BLVD STE 230, WELLINGTON, FL 33414-6109
(561) 798-6600
(561) 753-3328
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME67947
FL
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
ME0067947
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378102000
—
FL
Enumeration date
11/15/2005
Last updated
06/19/2023
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