MEDICARE: DAVID WALKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	146L00000X	Paramedic	PMD525690	FL

General Provider Information

NPI Number	:	1164386553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID WALKER

Provider Business Mailing Address
First Line	:	2918 W GANDY BLVD UNIT D
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33611-2851
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2918 W GANDY BLVD UNIT D
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33611-2851
Country	:	US
Telephone Number	:	727-893-7413
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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