MEDICARE: DR. ERIC MICHAEL WALSER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0204X	Vascular & Interventional Radiology Physician	H7101	TX
2	2085R0202X	Diagnostic Radiology Physician	ME177147	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01408	OTHER	FL	BLUECROSS/BLUESHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063403152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC MICHAEL WALSER M.D.

Provider Business Mailing Address
First Line	:	305 NE 2ND AVE # 37
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-3801
Country	:	US
Telephone Number	:	409-789-4948
Fax Number	:

Provider Business Practice Location Address
First Line	:	4205 W ATLANTIC AVE BLDG D
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-3901
Country	:	US
Telephone Number	:	561-300-1350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2005
Last Update Date	:	03/02/2026

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