Provider Demographics
NPI:1124313176
Name:WALDO, ORAL AL-WAYNE (MD)
Entity type:Individual
Prefix:
First Name:ORAL
Middle Name:AL-WAYNE
Last Name:WALDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 N FLAGLER DR STE 8000
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3413
Mailing Address - Country:US
Mailing Address - Phone:561-407-0611
Mailing Address - Fax:561-408-0650
Practice Address - Street 1:1411 N FLAGLER DR STE 8000
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3413
Practice Address - Country:US
Practice Address - Phone:561-407-0611
Practice Address - Fax:561-408-0650
Is Sole Proprietor?:No
Enumeration Date:2011-06-17
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME114871207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease