Jonathan Waldbaum
Physical Medicine & Rehabilitation Doctor
740 W Plymouth Ave
DeLand
, Florida 32720-3282
Jonathan Waldbaum
Physical Medicine & Rehabilitation Doctor
740 W Plymouth Ave
DeLand
, Florida 32720-3282
(386) 736-4348
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Jonathan Waldbaum
- 740 West Plymouth Avenue
- Deland, FL
- Zip : 32720
- Fax : (386) 736-4348
- Phone : (386) 734-9122
Second Address
- Jonathan Waldbaum
- 740 W Plymouth Ave
- Deland, FL
- Zip : 32720-3282
- Fax : (386) 736-4348
- Phone : (386) 734-9122
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | ME97272 | FL |
National Provider Identifier
| NPI | 1033118955 |
|---|---|
| Provider Name | Jonathan Waldbaum |
| First Address | Deland, FL 32720 |
| Second Address | Deland, FL 32720-3282 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H19777 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.