Individual
DR. WALTER WILLIAM PERROTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(866) 775-5053
(614) 764-9147
Mailing address
PO BOX 919280, ORLANDO, FL 32891-0001
(866) 775-5053
(614) 764-9147
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
00006494
AL
2085R0202X
Diagnostic Radiology Physician
37075
KY
2085R0202X
Diagnostic Radiology Physician
Primary
ME91535
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107039
—
AL
05
—
107040
—
AL
05
—
108199
—
AL
05
—
108515
—
AL
Enumeration date
02/06/2006
Last updated
11/07/2014
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