SearchFloridaPreferred Provider Organization

Priscilla Walters

NPI 1629515226 · on the registry since 2017 · sole proprietor

Practice

Address
4901 Jefferson St
Hollywood, FL 33021
Phone
(954) 482-3360
Fax
(954) 894-1188
Organisation at this address
Evelyn'S Place Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Preferred Provider Organization
305R00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-01-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida