Brian Bolivar Walls in Merritt Island - Internal Medicine

Brian Bolivar Walls - NPI 1508866237

Brian Bolivar Walls is a Internal Medicine in Merritt Island, Florida. Brian Bolivar Walls practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Brian Bolivar Walls is 1508866237. The last update date is 2017-08-03.

Brian Bolivar Walls's current location address is Po Box 540033, Merritt Island, Florida. You can contact this provider via phone number 3212438593 and fax number 3214536280. The mailing address for Brian Bolivar Walls is Po Box 540033, Merritt Island, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian Bolivar Walls
Address Po Box 540033, Merritt Island, Florida
Phone Number 3212438593
Fax Number 3214536280
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1508866237
Provider Enumeration Date 2005-07-22
Last Updated Date 2017-08-03

Provider Mailing Address Detail

Address Po Box 540033
City Merritt Island
State Florida (FL)
Post Code 329540033
Phone Number 3212438593
Fax Number 3214536280

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No ME71812
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
251358700 FL --

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FAQs about Brian Bolivar Walls

What is the unique provider identifier assigned to Brian Bolivar Walls?

The Brian Bolivar Walls has been issued the NPI (National Provider Identifier) 1508866237 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Brian Bolivar Walls is located?

The Brian Bolivar Walls is situated at the following address: Po Box 540033, Merritt Island, FL, 329540033.

What is Brian Bolivar Walls's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Brian Bolivar Walls is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.

On what date was the 1508866237 assigned to Brian Bolivar Walls?

The Brian Bolivar Walls was issued its 1508866237 on 2005-07-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Brian Bolivar Walls's information last updated?

The Brian Bolivar Walls's information was last updated on 2017-08-03.

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