Individual
CAROLYN DEWALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
10131 W COLONIAL DR, SUITE 4, OCOEE, FL 34761-4221
(407) 298-4910
(407) 296-2638
Mailing address
605 STRIHAL LOOP, OAKLAND, FL 34787-8958
(407) 877-0984
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9102038
FL
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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