Individual
JULIE A WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2137 LITTLE RD, TRINITY, FL 34655-4410
(727) 372-6760
(727) 372-6808
Mailing address
2137 LITTLE RD, TRINITY, FL 34655-4410
(727) 372-6760
(727) 372-6808
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME161861
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118096300
—
FL
05
—
200460910
—
IN
Enumeration date
09/15/2005
Last updated
06/12/2024
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