Individual
DR. ANDREW JOHN WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4030 W BOY SCOUT BLVD STE 800, TAMPA, FL 33607-5713
(813) 286-0033
(813) 282-1806
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
115420
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008695300
—
FL
01
—
LN367
MEDICAID
FL
Enumeration date
06/18/2009
Last updated
01/06/2025
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