Individual
THERON K WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7845
(863) 616-2493
Mailing address
4981 OLD BERKLEY RD, AUBURNDALE, FL 33823-8352
(863) 224-9985
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5243696
FL
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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