Maitland Family Practice

NPI #1558464669 in Maitland, Florida

Provider Information

NPI Number
1558464669
Entity Type
Organization
Organization Name
Maitland Family Practice
Primary Specialty
Family Medicine
Enumeration Date
Sep 6, 2006
Last Updated
Sep 23, 2016

Practice Location

Address
402 LAKE HOWELL RD
State
Florida
ZIP Code
32751-5907
Phone
(407) 628-4312

Authorized Official

Name
EDDIE C WALDHEIM JR., M.D.
Title
PRESIDENT
Phone
(407) 628-4312

Specialties & Taxonomy Codes

Specialty
Family Medicine

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