Individual
MR. ROBERT A WALTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
250 EAST FOURTH AVENUE, MOUNT DORA, FL 32757-0001
(352) 735-1400
(352) 735-3300
Mailing address
3705 JERICHO DR, CASSELBERRY, FL 32707-6018
(407) 388-0528
(407) 388-0528
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101024
FL
Other
Enumeration date
03/14/2007
Last updated
12/17/2007
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