Provider Demographics
NPI:1962603571
Name:DRS WALKER & TAYLOR PA
Entity type:Organization
Organization Name:DRS WALKER & TAYLOR PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:ERWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-219-0011
Mailing Address - Street 1:547 N MONROE ST # A
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-0619
Mailing Address - Country:US
Mailing Address - Phone:850-224-1184
Mailing Address - Fax:850-224-0884
Practice Address - Street 1:547-A NORTH MONROE STREET
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-0619
Practice Address - Country:US
Practice Address - Phone:850-224-1184
Practice Address - Fax:850-224-0884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL19786OtherBCBS FL
FL19786Medicare PIN
FL19786OtherBCBS FL