# WALTCARE CLINIC CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WaltCare Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124901947
- **Authorized official:** WALTER RODRIGUEZ (OWNER)
- **Authorized official phone:** (786) 708-7087

## Contact information

- **Practice address:** 6625 MIAMI LAKES DR STE 339, MIAMI LAKES, FL 33014-2705
- **Practice address phone:** (786) 708-0877
- **Mailing address:** 6625 MIAMI LAKES DR STE 339, MIAMI LAKES, FL 33014-2705
- **Mailing address phone:** (786) 708-0877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/29/2025
- **Last updated:** 07/29/2025