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Organization

EDWARD S WALKER MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD WALKER (MD)
(954) 772-9822
Entity
Organization

Contact information

Practice address
2001 NE 48TH CT, SUITE 1, FORT LAUDERDALE, FL 33308-4512
(954) 772-9822
(954) 772-9697
Mailing address
2001 NE 48TH CT, SUITE 1, FORT LAUDERDALE, FL 33308-4512
(954) 772-9822
(954) 772-9697

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
049482800
FL
Enumeration date
05/29/2013
Last updated
05/29/2013
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