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PRISCILLA WALTERS
NPI 1629515226
Preferred Provider Organization in Hollywood, FL

Active since January 21, 2017
4901 JEFFERSON ST, HOLLYWOOD, FL 33021(954) 482-3360(954) 894-1188 Get Directions Write a Review

NPPES record last updated: January 21, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Priscilla Walters NPPES

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

PRISCILLA WALTERS (NPI 1629515226) is an individual preferred provider organization provider in Hollywood, Florida, licensed in Florida (AL12519) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1629515226
Entity TypeIndividualFemale
Primary Taxonomy305R00000X
Provider Legal NamePRISCILLA WALTERS
Location Address4901 JEFFERSON STHollywood, FL 33021-7627
Mailing Address4901 Jefferson StHollywood, FL 33021-7627 · (954) 482-3360 · Fax (954) 894-1188
Phone(954) 482-3360
Fax(954) 894-1188
Sole ProprietorYes
Enumeration DateJanuary 21, 2017
✔ NPI 1629515226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in FL · AL12519
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
4901 JEFFERSON ST, Hollywood, FL 33021
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Other Identifiers 1

MedicaidW436671717290FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVELYN'S PLACE INC
Assisted Living Facility
4901 JEFFERSON ST
HOLLYWOOD, FL 33021
Broward County (754) 204-6112

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 Priscilla Walters's NPI number?

The NPI number for Priscilla Walters is 1629515226. It was assigned to this individual provider in the NPPES registry on January 21, 2017.

Where is Priscilla Walters located?

Priscilla Walters practices at 4901 Jefferson St, Hollywood, FL 33021. The listed phone number is (954) 482-3360.

What is Priscilla Walters's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Priscilla Walters was last updated on January 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.