Healthcare Provider Details

I. General information

NPI: 1306567839
Provider Name (Legal Business Name): MEDSURG HEALTHCARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2022
Last Update Date: 09/02/2022
Certification Date: 09/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N ORANGE AVE STE 710
ORLANDO FL
32801-5202
US

IV. Provider business mailing address

801 N ORANGE AVE STE 710
ORLANDO FL
32801-5202
US

V. Phone/Fax

Practice location:
  • Phone: 321-430-1495
  • Fax:
Mailing address:
  • Phone: 321-430-1495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER ARTHUR ROY WALKER
Title or Position: OWNER
Credential: MD
Phone: 407-333-0496