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NPI Code Detail

MEDICARE: DR. EDGAR ALFRED WALKER JR. M.D.

MEDICARE: DR. EDGAR ALFRED WALKER JR. 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
12084P0804XChild & Adolescent Psychiatry PhysicianME100266FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396898177
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDGAR ALFRED WALKER JR. M.D.
Provider Business Mailing Address
First Line : PO BOX 491000
Second Line :
City : LEESBURG
State : FL
Zip : 34749-1000
Country : US
Telephone Number : 352-315-7500
Fax Number : 352-360-6582
Provider Business Practice Location Address
First Line : 215 N 3RD ST
Second Line :
City : LEESBURG
State : FL
Zip : 34748-5105
Country : US
Telephone Number : 352-315-7500
Fax Number : 352-360-6582
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2007
Last Update Date : 12/14/2011

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