Organization
WALTER R. MULLIN, M.D, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER R. MULLIN M.D. (PRESIDENT/OWNER)
(305) 325-1441
Entity
Organization
Contact information
Practice address
9155 S. DADELAND BLVD, SUITE 1404, MIAMI, FL 33156-2739
(305) 325-1441
(305) 670-0770
Mailing address
9155 S DADELAND BLVD, SUITE 1404, MIAMI, FL 33156-2737
(305) 325-1441
(305) 670-0770
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME16284
STATE LICENSE #
FL
Enumeration date
08/14/2012
Last updated
01/18/2013
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