Individual
MR. WALTER CHARLES CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2815 KNUDSEN DR, SANFORD, FL 32773-5290
(407) 412-8666
Mailing address
2815 KNUDSEN DR, SANFORD, FL 32773-5290
(407) 412-8666
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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