Provider Demographics
NPI:1881648764
Name:WALDMAN, DANIEL ALEJANDRO (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:ALEJANDRO
Last Name:WALDMAN
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:575 CRANDON BLVD
Mailing Address - Street 2:#609
Mailing Address - City:KEY BISCAYNE
Mailing Address - State:FL
Mailing Address - Zip Code:33149-1869
Mailing Address - Country:US
Mailing Address - Phone:305-613-1966
Mailing Address - Fax:305-365-1773
Practice Address - Street 1:575 CRANDON BLVD
Practice Address - Street 2:#609
Practice Address - City:KEY BISCAYNE
Practice Address - State:FL
Practice Address - Zip Code:33149-1869
Practice Address - Country:US
Practice Address - Phone:305-613-1966
Practice Address - Fax:305-365-1773
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2012-01-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPT20915225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY091DOtherBCBSF
FLU7820Medicare UPIN