David a Wald MD PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME 83180 Issued in FL

Legal business name

DAVID A WALD MD PA

Practice address

2320 NE 62ND St
Ft Lauderdale, FL 33308-2208

Phone

(954) 772-2880

Fax

(954) 772-2848

NPI assigned

Jul 22, 2006

Last updated

Oct 3, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David A Wald, MD

Title

Owner

Phone

(954) 772-2880

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1659392900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 E SUNRISE BLVD",
            "address_2": "# 234",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043203",
            "telephone_number": "954-772-2880",
            "fax_number": "954-772-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 NE 62ND ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082208",
            "telephone_number": "954-772-2880",
            "fax_number": "954-772-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A WALD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "WALD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-772-2880",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME 83180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.