Individual
FLAVIA WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 W MICHIGAN ST, ORLANDO, FL 32805
(407) 317-7430
Mailing address
601 W MICHIGAN ST, ORLANDO, FL 32805-6203
(407) 317-7430
Taxonomy
Speciality
Code
Description
License number
State
2080C0008X
Child Abuse Pediatrics Physician
Primary
ME136333
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T102320150000941
MEDICARE PECOS
VA
Enumeration date
04/09/2012
Last updated
03/07/2023
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