Walker, Beverley P

Walker, Beverley P is an individual health care provider with primary practice located at 550 Pope Ave Nw , Winter Haven FL 33881-4679. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Walker, Beverley P can be contacted via phone (863) 293-2144.

Contact Information

Primary practice address
550 Pope Ave Nw Winter Haven FL 33881-4679
Phone: (863) 293-2144
Fax: (863) 293-3732
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA3581 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X PA3581 Florida

Profile Details

NPI number 1629149067
LBN Legal business name Walker, Beverley P
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Nov 7th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629149067 NPPES
Florida MEDICAID 292043300

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