Individual
MARIKA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3635 CLYDE MORRIS BLVD STE 100, PORT ORANGE, FL 32129-2349
(904) 398-7205
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9115209
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116727900
—
FL
Enumeration date
10/18/2010
Last updated
10/14/2024
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