Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRISCILLA WALTERS
Active Sole ProprietorPRISCILLA WALTERS is a Preferred Provider Organization healthcare provider located in HOLLYWOOD, Florida. NPI 1629515226 is currently active in the NPPES registry. Verify at CMS.
Preferred Provider Organization · HOLLYWOOD, FL
Registration Details
- NPI Number
- 1629515226
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 21, 2017 (9.5713826516346 yrs)
- Last Updated
- Jan 21, 2017
- License
-
AL12519 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4901 JEFFERSON STHOLLYWOOD, FL, 330217627Browse FL providers · Browse ZIP 33021
- Phone
- 9544823360
- Fax
- 9548941188
- Primary Specialty
-
Preferred Provider Organization
305R00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.