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Individual

DOUGLAS A WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5220 16TH AVE S, GULFPORT, FL 33707-4202
(727) 564-2220
Mailing address
5220 16TH AVE S, GULFPORT, FL 33707-4202
(727) 564-2220

Taxonomy

Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
TT13506
FL
227900000X
Registered Respiratory Therapist
Primary
RT13863
FL

Other

Enumeration date
11/26/2014
Last updated
11/26/2014
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