Provider Demographics
NPI:1407074974
Name:WALKER, ANTHONY FITZGERALD JR (CERT MEDICAL ASST)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:FITZGERALD
Last Name:WALKER
Suffix:JR
Gender:M
Credentials:CERT MEDICAL ASST
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6342 FOREST HILL BLVD # 139
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33415-6104
Mailing Address - Country:US
Mailing Address - Phone:561-951-6976
Mailing Address - Fax:
Practice Address - Street 1:5053 SOUT H CONGRESS AVE.
Practice Address - Street 2:STE. 204
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33461
Practice Address - Country:US
Practice Address - Phone:561-969-7300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist