Dr Judith E Wall, MD - Pediatrics in Orlando, FL

Dr Judith E Wall, MD is a Pediatrics - Pediatric Hematology-oncology physician based in Orlando, Florida. Dr Judith E Wall is licensed to practice in Florida (license number ME54564) and her current practice location is 1717 S Orange Ave, Suite 100, Orlando, Florida. She can be reached at her office (for appointments etc.) via phone at (407) 650-7000.

NPI number for Dr Judith E Wall is 1972612745 and her current mailing address is Po Box 191, Provider Enrollment Dept, Rockland, Delaware. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972612745.

Contact Information

Dr Judith E Wall, MD
1717 S Orange Ave, Suite 100,
Orlando, FL 32806-2944
(407) 650-7000
(407) 650-7124

Map and Direction




Physician's Profile

Full NameDr Judith E Wall
GenderFemale
SpecialityPediatrics - Pediatric Hematology-oncology
Location1717 S Orange Ave, Orlando, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1972612745
  • Provider Enumeration Date: 08/29/2006
  • Last Update Date: 11/23/2011

Medical Identifiers

Medical identifiers for Dr Judith E Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972612745NPI-NPPES
3205461MedicaidMA
373323800MedicaidFL
6728804MedicaidNJ
JW35718MedicaidRI
01602271MedicaidNY
7612489MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0207XPediatrics - Pediatric Hematology-oncology ME54564 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Judith E Wall is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Judith E Wall, MD
Po Box 191, Provider Enrollment Dept,
Rockland, DE 19732-0191

Ph: (302) 651-6212
Dr Judith E Wall, MD
1717 S Orange Ave, Suite 100,
Orlando, FL 32806-2944

Ph: (407) 650-7000

Reviews and Comments


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