Provider Demographics
NPI:1497293716
Name:WALKER, ROBERT
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:WALKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 S KIRKMAN RD
Mailing Address - Street 2:STE 205
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-2200
Mailing Address - Country:US
Mailing Address - Phone:407-988-3048
Mailing Address - Fax:321-332-7022
Practice Address - Street 1:805 S KIRKMAN RD
Practice Address - Street 2:STE 205
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-2200
Practice Address - Country:US
Practice Address - Phone:407-988-3048
Practice Address - Fax:321-332-7022
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator