| Organization Name: | WALSTEIN MEDICAL CENTER INC. |
| NPI Number: | 1255741088 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE MCDONALD (PRESIDENT) |
| Mailing Address: | 4161 Nw 5th St Suite 201 Plantation |
| State: | FL US |
| Postal Code: | 333172101 |
| Phone Number: | 9543684283 |
| Fax Number: | 9543684900 |
| NPI Enumeration Date: | 05/01/2014 |
| NPI Last Update Date: | 08/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |