National Provider Identifier Database

PRISCILLA WALTERS
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

PRISCILLA WALTERS
4901 JEFFERSON ST
HOLLYWOOD, FL33021-7627
Phone: 954-482-3360
Fax: 954-894-1188
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for PRISCILLA WALTERS

NPI Number 1629515226
Credentials
Entity Individual
Enumeration date 01/21/2017
Last updated 01/21/2017 - About 9 years ago
Sole proprietor1 Yes
Identifiers
  • FL License #: AL12519
  • FL Medicaid: W436671717290
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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