Search › Florida › 163W00000X
Joshua Waller
NPI 1902772411 · on the registry since 2025
Practice
- Address
- 4750 Collegiate Dr
Panama City, FL 32405 - Phone
- (850) 872-4750
- Organisation at this address
- Florida State University
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 57
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-13
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