Individual
GLENN W WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
502 WEST HIGHLAND BLVD, INVERNESS, FL 34452-4720
(352) 726-1551
Mailing address
1613 N. HARRISON PARKWAY, SUITE 200, MAILSTOP SH-9A, SUNRISE, FL 33323-2896
(954) 838-2371
(954) 851-1746
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA316
FL
Other
Enumeration date
10/15/2015
Last updated
12/16/2021
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