Carolyn Dewalden, P.A.

NPI #1528198546 in Ocoee, Florida

Provider Information

NPI Number: 1528198546
Entity Type: Individual
Name: Carolyn Dewalden, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Mar 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 10131 W COLONIAL DR
Address 2: SUITE 4
City: Ocoee
State: Florida
ZIP Code: 34761-4221
Phone: (407) 298-4910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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