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NPI Code Detail

MEDICARE: MR. ROBERT WALTERS IV APRN

MEDICARE: MR. ROBERT WALTERS IV APRN
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11032879FL

General Provider Information

NPI Number : 1598514721
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT WALTERS IV APRN
Provider Business Mailing Address
First Line : 801 N MAGNOLIA AVE STE 106
Second Line :
City : ORLANDO
State : FL
Zip : 32803-3841
Country : US
Telephone Number : 321-800-2922
Fax Number :
Provider Business Practice Location Address
First Line : 801 N MAGNOLIA AVE STE 106
Second Line :
City : ORLANDO
State : FL
Zip : 32803-3841
Country : US
Telephone Number : 321-800-2922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2024
Last Update Date : 03/07/2025

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