Wall, Judith E.

Wall, Judith E. is an individual health care provider with primary practice located at 1717 S Orange Ave Suite 100, Orlando FL 32806-2944. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Wall, Judith E. can be contacted via phone (407) 650-7000.

Contact Information

Primary practice address
1717 S Orange Ave Suite 100 Orlando FL 32806-2944
Phone: (407) 650-7000
Fax: (407) 650-7124
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X ME54564 Florida

Profile Details

NPI number 1972612745
LBN Legal business name Wall, Judith E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Nov 23rd, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972612745 NPPES
Massachusetts MEDICAID 3205461
Massachusetts MEDICAID 373323800
Massachusetts MEDICAID 6728804
Massachusetts MEDICAID JW35718
Massachusetts MEDICAID 01602271
Massachusetts MEDICAID 7612489

Popular Providers