Dylan Jarod Walter, MD is a
Student In An Organized Health Care Education/training Program physician based in Lakeland, Florida. Dylan Jarod Walter is licensed to practice in * (Not Available) (license number ) and his current practice location is 1324 Lakeland Hills Blvd, Lakeland, Florida. He can be reached at his office (for appointments etc.) via phone at
(863) 687-1100.
NPI number for Dylan Jarod Walter is 1205464567 and his current mailing address is 501 Knights Run Ave, Tampa, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205464567.
Physician's Profile
| Full Name | Dylan Jarod Walter |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1324 Lakeland Hills Blvd, Lakeland, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205464567
- Provider Enumeration Date: 03/31/2020
- Last Update Date: 06/03/2025
Medical Identifiers
Medical identifiers for Dylan Jarod Walter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205464567 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | ME170075 (Florida) | Secondary |
| 208M00000X | Hospitalist | ME170075 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dylan Jarod Walter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dylan Jarod Walter, MD
501 Knights Run Ave,
Tampa, FL 33602-5938
Ph: (830) 708-8584 | Dylan Jarod Walter, MD
1324 Lakeland Hills Blvd,
Lakeland, FL 33805-4543
Ph: (863) 687-1100 |
Reviews and Comments