Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME55810 | FL |
N | 111NI0900X | Internist | ME55810 | FL |
Y | 207RH0002X | Hospice and Palliative Medicine | ME55810 | FL |
NPI | 1053322248 |
---|---|
Provider Name | Robert M Walker |
First Address | Orlando, FL 32891-7770 |
Second Address | Tampa, FL 33612-4742 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 17/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
061488200 | (05) | FL |
09372 | BLUE CROSS BLUE SHIELD (01) | FL |
E70625 | (02) | FL |