IndividualActive
Ian Waldman, M.D.
NPI 1780004234 · Reproductive Endocrinology Physician · Jacksonville, FL
Provider details
- NPI number
- 1780004234
- Entity type
- Individual
- Primary specialty
- Reproductive Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 149506 (FL)
Practice location
9084 R G Skinner Pkwy
Jacksonville, FL 32256-4157
Phone: (904) 895-4749
Fax: (904) 895-5904
Mailing address
9084 R G Skinner Pkwy
Jacksonville, FL 32256-4157
Registry dates
- Enumerated
- 2014-04-23
- Last updated
- 2025-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.