Healthcare Provider Details

I. General information

NPI: 1801664123
Provider Name (Legal Business Name): JAMIKA WALKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2023
Last Update Date: 12/15/2023
Certification Date: 12/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8816 ALBURY DR APT 5316
ORLANDO FL
32827
US

IV. Provider business mailing address

7157 NARCOOSSEE RD # 1062
ORLANDO FL
32822-5533
US

V. Phone/Fax

Practice location:
  • Phone: 305-965-6776
  • Fax:
Mailing address:
  • Phone: 305-965-6776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: