Provider Demographics
NPI:1164792263
Name:WARD, WALTER CHALMERS (MD)
Entity Type:Individual
Prefix:DR
First Name:WALTER
Middle Name:CHALMERS
Last Name:WARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 RIVER BEND CT
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-4918
Mailing Address - Country:US
Mailing Address - Phone:407-616-9077
Mailing Address - Fax:407-862-7375
Practice Address - Street 1:301 HILLCREST ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-1213
Practice Address - Country:US
Practice Address - Phone:407-244-1212
Practice Address - Fax:407-244-3115
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME9972207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine