Healthcare Provider Details

I. General information

NPI: 1538539523
Provider Name (Legal Business Name): MEDSURG CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2015
Last Update Date: 10/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N ORANGE AVE SUITE 710
ORLANDO FL
32801-1026
US

IV. Provider business mailing address

801 N ORANGE AVE SUITE 710
ORLANDO FL
32801-1026
US

V. Phone/Fax

Practice location:
  • Phone: 407-648-9400
  • Fax: 407-480-5118
Mailing address:
  • Phone: 407-648-9400
  • Fax: 407-480-5118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME86897
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME86897
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberME86897
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code2088F0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License NumberME86897
License Number StateFL
# 5
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberME86897
License Number StateFL

VIII. Authorized Official

Name: DR. CHRISTOPHER WALKER
Title or Position: MEDICAL DIRECTOR/OWNER
Credential: M.D.
Phone: 407-648-9400