Doctor Name: | VALERIE A WALK |
NPI Number: | 1083604383 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | PA9102475 |
Business Practice Address: | 2531 Cleveland Ave Suite 1 Ft Myers, FL - 339014900 |
Business Phone Number: | 2393347000 |
Business Fax Number: | 2393347070 |
Mailing Address: | 2531 Cleveland Ave, Suite 1 FT MYERS |
State: | FL |
Postal Code: | 339014900 |
Phone Number: | 2393347000 |
Fax Number: | 2393347070 |
NPI Enumeration Date: | 10/27/2005 |
NPI Last Update Date: | 02/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA9102475 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |