Individual
MS. BEVERLEY P WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 POPE AVE NW, WINTER HAVEN, FL 33881-4679
(863) 293-2144
(863) 293-3732
Mailing address
550 POPE AVE NW, WINTER HAVEN, FL 33881-4679
(863) 293-2144
(863) 293-3732
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
PA3581
FL
363AM0700X
Medical Physician Assistant
PA3581
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292043300
—
FL
Enumeration date
11/09/2006
Last updated
11/07/2012
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