Individual
CAROLYN MARIE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 7TH ST N, NAPLES, FL 34102-5754
(239) 436-5000
Mailing address
PO BOX 160448, MIAMI, FL 33116-0448
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME63593
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23436
BLUE CROSS OF FLORIDA
FL
Enumeration date
08/05/2006
Last updated
02/21/2008
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