Waldron, Laurie Beth

Waldron, Laurie Beth is an individual health care provider with primary practice located at 3003 W. Dr. Martin Luther King Jr. Blvd. , Tampa FL 33607-6307. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Waldron, Laurie Beth can be contacted via phone (813) 554-8384.

Contact Information

Primary practice address
3003 W. Dr. Martin Luther King Jr. Blvd. Tampa FL 33607-6307
Phone: (813) 554-8384
Fax: (813) 443-8160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9105505 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9105505 Florida

Profile Details

NPI number 1679849707
LBN Legal business name Waldron, Laurie Beth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2012
Last updated Apr 13th, 2023 - about 3 years ago

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 1679849707 NPPES
Florida MEDICAID 0092489-00

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