Priscilla Walters
Priscilla Walters is a Preferred Provider Organization in Hollywood, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2017
Practice location Address checks out
4901 Jefferson StHollywood, FL 33021-7627
Phone: (954) 482-3360
Fax: (954) 894-1188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence AL12519 (FL) |
|---|
Record details
| NPI number | 1629515226 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 21, 2017 |
| Last updated in NPPES | January 21, 2017 |
| Mailing address | 4901 Jefferson St, Hollywood, FL 33021-7627 |