Walters, Marissa Ann
Walters, Marissa Ann is an individual health care provider with primary practice located at 1229 Atlantic Ave , Fruitland Park FL 34731-3245. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Walters, Marissa Ann can be contacted via phone (352) 350-3801.Contact Information
Primary practice address
1229 Atlantic Ave
Fruitland Park FL 34731-3245
Phone: (352) 350-3801
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 539885 | Florida |
Profile Details
| NPI number | 1417862038 |
|---|---|
| LBN Legal business name | Walters, Marissa Ann |
| Credentials | PMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2026 |
| Last updated | Aug 18th, 2026 - about 2 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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