MEDICARE: PAUL LEXINGTON WALKER D.P.M.

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	213EP1101X	Primary Podiatric Medicine Podiatrist	PO 2587	FL

General Provider Information

NPI Number	:	1205038098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL LEXINGTON WALKER D.P.M.

Provider Business Mailing Address
First Line	:	531 NW 46TH AVE
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33317-2039
Country	:	US
Telephone Number	:	754-246-5354
Fax Number	:	954-563-3499

Provider Business Practice Location Address
First Line	:	512 W OAKLAND PARK BLVD
Second Line	:
City	:	WILTON MANORS
State	:	FL
Zip	:	33311-1726
Country	:	US
Telephone Number	:	954-563-3499
Fax Number	:

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

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	07/08/2007

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