Provider Demographics
NPI:1093189060
Name:WALMED, LLC
Entity Type:Organization
Organization Name:WALMED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CURT
Authorized Official - Middle Name:
Authorized Official - Last Name:WALDRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-408-1903
Mailing Address - Street 1:2801 E COLONIAL DR
Mailing Address - Street 2:#552
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-5001
Mailing Address - Country:US
Mailing Address - Phone:407-408-1903
Mailing Address - Fax:
Practice Address - Street 1:2801 E COLONIAL DR
Practice Address - Street 2:#552
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-5001
Practice Address - Country:US
Practice Address - Phone:407-408-1903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-13
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL000276960870332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000276960870OtherSTATE LICENSE