Waldon, Brent Darrell

Waldon, Brent Darrell is an individual health care provider with primary practice located at 52 Underwood St , Orlando FL 32806-1110. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Waldon, Brent Darrell can be contacted via phone (321) 841-8727.

Contact Information

Primary practice address
52 Underwood St Orlando FL 32806-1110
Phone: (321) 841-8727
Fax: (321) 843-3386
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN259371 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN9266327 Florida
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN9266327 Florida

Profile Details

NPI number 1275087306
LBN Legal business name Waldon, Brent Darrell
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2016
Last updated Oct 13th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275087306 NPPES
Florida MEDICAID 024693600

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