Organization
WALTER A CONLAN III MD PA
Active
Organization
WALTER A CONLAN III MD PA
Active
Other names
Florida Wound Care Doctors
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER A CONLAN III M.D. (OWNER/CEO)
(407) 339-4499
Entity
Organization
Contact information
Practice address
1415 GENE ST, WINTER PARK, FL 32789-4840
(407) 339-4499
(407) 339-4903
Mailing address
1415 GENE ST, WINTER PARK, FL 32789-4840
(407) 339-4499
(407) 339-4903
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME70963
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277683900
—
FL
01
—
DE4519
RR MEDICARE
FL
Enumeration date
10/12/2007
Last updated
10/08/2014
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