Individual
DIANE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
149 NE 241 ST, CROSS CITY, FL 32628-3305
(352) 498-1360
(352) 498-1359
Mailing address
23708 NW 194TH DR, HIGH SPRINGS, FL 32643-7022
(386) 454-2270
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0047108
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036568800
—
FL
01
—
04488
BCBS
FL
01
—
P00096973
RAILROAD MCR
FL
Enumeration date
09/14/2006
Last updated
05/06/2010
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