Priscilla Walters

Preferred Provider Organization · Hollywood, FL

Individual Active NPI

NPI number 1629515226

Practice location

4901 Jefferson St
Hollywood, FL 33021-7627
Phone
(954) 482-3360
Fax
(954) 894-1188

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NPI record

NPI
1629515226
Entity type
Individual (Type 1)
Enumeration date
January 21, 2017
Last updated
January 21, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Preferred Provider Organization Primary 305R00000X AL12519 FL

About Priscilla Walters

Priscilla Walters is a healthcare provider registered in the NPI registry with the primary taxonomy Preferred Provider Organization (code 305R00000X). The practice location is 4901 Jefferson St, Hollywood, FL 33021-7627. The NPI number 1629515226 was assigned on January 21, 2017 and the record was last updated on January 21, 2017.

Priscilla Walters lists a license in the registry: #AL12519 (FL) for Preferred Provider Organization. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Priscilla Walters?

The NPI number is 1629515226.

What is the phone number of Priscilla Walters?

The phone number listed for the practice location is (954) 482-3360.

Where is Priscilla Walters located?

4901 Jefferson St, Hollywood, FL 33021-7627.

What is the taxonomy code for Priscilla Walters?

The primary taxonomy code is 305R00000X – Preferred Provider Organization.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.