| Walrus Services, Llc | |
|
390 S Geronimo St Suite #104 Miramar Beach FL 32550-7020 | |
| (850) 650-0053 | |
| (850) 650-0075 |
| Full Name | Walrus Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 390 S Geronimo St, Miramar Beach, Florida |
| Authorized Official Name and Position | Dow G. (guy) Walden (OWNER/C.O.O.) |
| Authorized Official Contact | 3216892072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walrus Services, Llc 390 S Geronimo St Suite #104 Miramar Beach FL 32550-7020 Ph: (850) 650-0053 | Walrus Services, Llc 390 S Geronimo St Suite #104 Miramar Beach FL 32550-7020 Ph: (850) 650-0053 |
| NPI Number | 1912254152 |
|---|---|
| Provider Enumeration Date | 08/07/2012 |
| Last Update Date | 08/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912254152 | NPI | - | NPPES |
| 691154496 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 691154496 (Florida) | Primary |
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