MEDICARE: DR. CORI WALKER AU.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	231H00000X	Audiologist	AY810	FL

General Provider Information

NPI Number	:	1447264296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CORI WALKER AU.D

Provider Business Mailing Address
First Line	:	4600 LINTON BLVD
Second Line	:	SUITE 350
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-6600
Country	:	US
Telephone Number	:	561-638-5156
Fax Number	:	561-638-5251

Provider Business Practice Location Address
First Line	:	4600 LINTON BLVD
Second Line	:	SUITE 350
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-6600
Country	:	US
Telephone Number	:	561-638-5156
Fax Number	:	561-638-5251

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

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	04/24/2013

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