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Priscilla Walters
Preferred Provider Organization in Hollywood, Florida
NPI 1629515226

Priscilla Walters is a Preferred Provider Organization based in Hollywood, FL. Priscilla Walters practices in Hollywood, FL. The NPI Number for Priscilla Walters is 1629515226 and holds a License No. AL12519 (Florida).

The current practice location address for Priscilla Walters is 4901 Jefferson St, Hollywood, FL and can be reached out via phone at 954-482-3360 and via fax at 954-894-1188.

Location: 4901 Jefferson St, Hollywood, FL, 33021-7627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629515226
Provider Name
Priscilla Walters
Credential
Provider Entity Type
Individual
Gender
Female
Address
4901 Jefferson St, Hollywood, FL, 33021-7627
Phone Number
954-482-3360
Fax Number
954-894-1188
Provider Enumeration Date
01/21/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W436671717290 05 FL
institution
Provider Business Practice Location Address Details
Address
4901 Jefferson St
City
Hollywood
State
Florida
Zip
33021-7627
Phone Number
954-482-3360
Fax Number
954-894-1188
person
Provider Business Mailing Address Details
Address
4901 Jefferson St
City
Hollywood
State
Florida
Zip
33021-7627
Phone Number
954-482-3360
Fax Number
954-894-1188
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
AL12519 (Florida)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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