Individual
DR. PETER ANTHONY WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1421 MALABAR RD NE STE 220, PALM BAY, FL 32907
(321) 434-8228
(321) 434-8229
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME132404
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021401700
—
FL
01
—
JA348Z
FL MEDICARE
FL
Enumeration date
02/10/2009
Last updated
03/13/2020
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