MEDICARE: MR. WALTER BRYCE LARAWAY M.S.

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	106H00000X	Marriage & Family Therapist	MT 2205	FL

General Provider Information

NPI Number	:	1326257767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WALTER BRYCE LARAWAY M.S.

Provider Business Mailing Address
First Line	:	805 N.SUMMIT AVE.
Second Line	:	P.O.BOX 1000
City	:	LAKE HELEN
State	:	FL
Zip	:	32744
Country	:	US
Telephone Number	:	386-801-5357
Fax Number	:

Provider Business Practice Location Address
First Line	:	114 W. VOORHIS AVE
Second Line	:
City	:	DELAND
State	:	FL
Zip	:	32720
Country	:	US
Telephone Number	:	386-801-5357
Fax Number	:

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

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	12/07/2025

Similar Medicare Providers

1114672219 — LAWANDA L EWING MSN, CRNP, FNP-BC
Practice Location Address:

937 N SPRING GARDEN AVE
DELAND, FL
32720-2560

Practice Phone: 386-736-1948
Practice Fax:

1871760538 — DR. FREDERICK ETHAN WEISS MD
Practice Location Address:

701 W PLYMOUTH AVE
DELAND, FL
32720-3236

Practice Phone: 386-943-3160
Practice Fax: 317-705-5047

1720365919 — VISIONWORKS, INC.
Practice Location Address:

2673 S WOODLAND BLVD
DELAND, FL
32720-8696

Practice Phone: 386-736-3554
Practice Fax: 386-736-6447

1154286599 — SMA HEALTHCARE, INC
Practice Location Address:

1251 N STONE ST
DELAND, FL
32720-2584

Practice Phone: 800-539-4228
Practice Fax:

1578084026 — YAMELYS SANABRIA MENDEZ DC
Practice Location Address:

1575 S SR 15A STE 300
DELAND, FL
32720-7810

Practice Phone: 386-951-9200
Practice Fax: 386-279-0200

1902769714 — SMA HEALTHCARE INC
Practice Location Address:

1255 N STONE STREET
DELAND, FL
32720

Practice Phone: 800-539-4228
Practice Fax:

1134081771 — TALLAHASSEE ORTHOPEDIC CLINIC III, P.L.
Practice Location Address:

740 W PLYMOUTH AVE
DELAND, FL
32720-3282

Practice Phone: 813-978-9700
Practice Fax:

Directions to “ MR. WALTER BRYCE LARAWAY M.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.