Male or Other

Antonio B. Walls

Counselor in Tampa, FL(View on Map)

Full Name

Antonio Brian Walls

NPI Number

1457772709

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/03/2014

Specialties

(Taxonomies)

Code

101Y00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

5707 N 22ND ST
5707 N 22ND ST

City

Tampa
Tampa

State

FL
FL

Postal Code

33610-4350
33610-4350

Country

US
US

Telephone Number

(813) 239-8069
(813) 239-8069

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/03/2014

Provider Address

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