Individual
MR. BARRY WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1685 IRENE CT, DELTONA, FL 32725-4801
(386) 837-1223
Mailing address
5979 VINELAND RD, SUITE 1, ORLANDO, FL 32819-7800
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
5600520
FL
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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