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234 Oleander Ave Apt 6 Palm Beach FL 33480-3824 | |
| (352) 497-5920 | |
| (561) 629-5240 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 234 Oleander Ave Apt 6, Palm Beach, Florida |
| Authorized Official Name and Position | Mark Christopher Walker (CEO/PRESIDENT) |
| Authorized Official Contact | 3524975920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
234 Oleander Ave Apt 6 Palm Beach FL 33480-3824 Ph: (352) 497-5920 | 234 Oleander Ave Apt 6 Palm Beach FL 33480-3824 Ph: (352) 497-5920 |
| NPI Number | 1699438549 |
|---|---|
| Provider Enumeration Date | 10/18/2021 |
| Last Update Date | 01/21/2025 |
| Certification Date | 01/21/2025 |
| Medicare PECOS PAC ID | 2365831666 |
|---|---|
| Medicare Enrollment ID | O20211108000533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699438549 | NPI | - | NPPES |
| 100556600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Mark C Walker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427318864 PECOS PAC ID: 8729224878 Enrollment ID: I20130417000131 |
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