Healthcare Provider Details

I. General information

NPI: 1629149067
Provider Name (Legal Business Name): ARLENE PHYLLIS BEVERLEY WALKER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 E CENTRAL PKWY STE 235
ALTAMONTE SPRINGS FL
32701-3450
US

IV. Provider business mailing address

499 E CENTRAL PKWY STE 235
ALTAMONTE SPRINGS FL
32701-3450
US

V. Phone/Fax

Practice location:
  • Phone: 352-404-7728
  • Fax:
Mailing address:
  • Phone: 352-404-7728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberPA3581
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA3581
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: