NPI 1013473198

Walther Martin Piedra

Practitioner Driver Melbourne, FL

Practice location

Address: 5768 Tamarac Dr, Melbourne, FL 32940-8058
Phone: (321) 210-6175

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence P362893672490 (FL)

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Registry record

NPI: 1013473198
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Feb 2019
Record last updated: 14 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.