Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARISSA ANN WALTERS PMD
NPI 1417862038
Emergency Medicine - Emergency Medical Services in Fruitland Park, FL

Q: What is Marissa Walters's NPI number?

The NPI number for Marissa Walters is 1417862038. It was assigned to this individual provider in the NPPES registry on August 18, 2026.

Q: What is Marissa Walters's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Walters was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 18, 2026

1229 ATLANTIC AVE, FRUITLAND PARK, FL 34731(352) 350-3801 Get Directions Write a Review

NPPES record added: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Marissa Ann Walters Pmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA ANN WALTERS PMD (NPI 1417862038) is an individual emergency medical services provider in Fruitland Park, Florida, licensed in Florida (539885) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1417862038

Entity TypeIndividualFemale

Primary Taxonomy207PE0004X

Provider Legal NameMARISSA ANN WALTERSCredential: PMD

Location Address1229 ATLANTIC AVEFruitland Park, FL 34731-3245

Mailing Address1229 Atlantic AveFruitland Park, FL 34731-3245 · (352) 350-3801

Phone(352) 350-3801

Sole ProprietorNo

Enumeration DateAugust 18, 2026

NPPES CertifiedAugust 18, 2026

✔ NPI 1417862038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians

Taxonomy Code207PE0004X

License✔ Licensed in FL · 539885

Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

1229 ATLANTIC AVE, Fruitland Park, FL 34731

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Walters's NPI number?

The NPI number for Marissa Walters is 1417862038. It was assigned to this individual provider in the NPPES registry on August 18, 2026.

Where is Marissa Walters located?

Marissa Walters practices at 1229 Atlantic Ave, Fruitland Park, FL 34731. The listed phone number is (352) 350-3801.

What is Marissa Walters's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

When was this NPI record last updated?

The NPPES record for Marissa Walters was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.