Individual provider · NPI-1

James Michael Walker, M.D.

Pediatrics, Developmental - Behavioral Pediatrics · Daytona Beach, FL

NPI number1225153752
StatusActive
Last updated in NPPESJul 22, 2024

Details

NPI
1225153752
Entity type
Individual (NPI-1)
Name
James Michael Walker
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 21, 2007
Certification date
Jul 22, 2024
Last updated
Jul 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0006X Pediatrics, Developmental - Behavioral PediatricsME110990FLYes
208000000X Pediatrics35 077290OH
208000000X PediatricsME110990FL
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics35.077290OH
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics35 077290OH

Practice location

1219 Dunn Ave
Daytona Beach, FL 32114-2405

Phone 386-255-4568 · Fax 386-258-7677

Mailing address

1219 Dunn Ave
Daytona Beach, FL 32114-2405

Phone 386-255-4568 · Fax 386-258-7677

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