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Stephen Waldman

NPI 1174205926 · on the registry since 2023 · sole proprietor

Practice

Address
10400 Sw Village Center Dr
Port St Lucie, FL 34987
Phone
(772) 345-9000
Organisation at this address
Publix Super Markets Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida