# WALTER F PROANO, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225077019
- **Authorized official:** WALTER PROANO M.D. (PRESIDENT)
- **Authorized official phone:** (954) 392-9993

## Contact information

- **Practice address:** 777 E 25TH ST, SUITE 419, HIALEAH, FL 33013-3825
- **Practice address phone:** (305) 693-5171
- **Practice address fax:** (305) 693-5172
- **Mailing address:** 777 E 25TH ST, SUITE 419, HIALEAH, FL 33013-3825
- **Mailing address phone:** (305) 693-5171
- **Mailing address fax:** (305) 693-5172

## Taxonomy

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

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 08/22/2020
