Provider Demographics
NPI:1720680762
Name:WALKER, RODNEY D (MBA)
Entity Type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:D
Last Name:WALKER
Suffix:
Gender:M
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 291397
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33687-1397
Mailing Address - Country:US
Mailing Address - Phone:863-666-0798
Mailing Address - Fax:
Practice Address - Street 1:7715 SUMTER CT
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33637-7328
Practice Address - Country:US
Practice Address - Phone:863-666-0798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor