Individual
GRACEMARIE ROSARIO WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13564 VILLAGE PARK DR UNIT O-355, ORLANDO, FL 32837-7760
(407) 974-4056
(407) 550-7844
Mailing address
13564 VILLAGE PARK DR UNIT O-355, ORLANDO, FL 32837-7760
(321) 496-5717
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108066
FL
Other
Enumeration date
02/24/2014
Last updated
10/25/2025
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