Provider Demographics
NPI:1427318864
Name:WALKER, MARK C I (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:C
Last Name:WALKER
Suffix:I
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:234 OLEANDER AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480-3824
Mailing Address - Country:US
Mailing Address - Phone:352-497-5920
Mailing Address - Fax:561-629-5240
Practice Address - Street 1:234 OLEANDER AVE APT 6
Practice Address - Street 2:
Practice Address - City:PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480-3824
Practice Address - Country:US
Practice Address - Phone:352-497-5920
Practice Address - Fax:561-629-5240
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-19
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME1087322084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL100556600Medicaid