Individual
EDWARD STEPHEN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 NE 48TH CT, SUITE 1, FORT LAUDERDALE, FL 33308-4512
(954) 772-9822
(954) 772-9697
Mailing address
2001 NE 48TH CT, SUITE 1, FORT LAUDERDALE, FL 33308-4512
(954) 772-9822
(954) 772-9697
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME40422
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049482800
—
FL
Enumeration date
09/16/2006
Last updated
05/29/2013
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