Individual
DR. JUDITH E. WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1717 S ORANGE AVE, SUITE 100, ORLANDO, FL 32806-2944
(407) 650-7000
(407) 650-7124
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
ME54564
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01602271
—
NY
05
—
3205461
—
MA
05
—
373323800
—
FL
05
—
6728804
—
NJ
05
—
7612489
—
NC
05
—
JW35718
—
RI
Enumeration date
08/29/2006
Last updated
11/23/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us