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Individual

DENNIS J WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
308 W HIGHLAND BLVD, INVERNESS, FL 34452-4716
(352) 726-8353
(352) 726-5038
Mailing address
308 W HIGHLAND BLVD, INVERNESS, FL 34452-4716
(352) 726-8353
(352) 726-5038

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME47107
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
035846100
FL
01
060013028
MEDICARE RR
FL
01
07921
BCBS OF FL
FL
01
11319387
CAQH
FL
01
659859500
MEDICAID GROUP
FL
01
77940
MEDICARE GROUP ID
FL
01
8603474
CIGNA
FL
01
CF1416
MEDICARE RR GROUP
DE
01
ME0047107
STATE LICENSE NIMBER
FL
Enumeration date
12/01/2005
Last updated
10/09/2009
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