Healthcare Provider Details

I. General information

NPI: 1881783082
Provider Name (Legal Business Name): STACY E WALKER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 PINEHURST RD STE E
DUNEDIN FL
34698-5408
US

IV. Provider business mailing address

1130 PINEHURST RD STE E
DUNEDIN FL
34698-5408
US

V. Phone/Fax

Practice location:
  • Phone: 727-532-9700
  • Fax: 727-532-9744
Mailing address:
  • Phone: 727-532-9700
  • Fax: 727-532-9744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH6703
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: