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Individual

DR. NEBBIE ELIZABETH WALFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
601 5TH ST S, SUITE 306, ST PETERSBURG, FL 33701-4804
(727) 767-4170
(727) 767-4346
Mailing address
601 5TH ST S, SUITE 306, ST PETERSBURG, FL 33701-4804
(727) 767-4170
(727) 767-4346

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
ME106615
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001989600
FL
01
1488J
BCBS
FL
01
188174771501
PRESTIGE HEALTH CHOICE
FL
01
3895403
CIGNA
FL
01
DO0900Z
MEDICARE
FL
Enumeration date
01/22/2007
Last updated
01/19/2022
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