WALTER R. MULLIN, M.D, P.A (NPI# 1053668558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053668558 |
| Entity Type | Organization |
| Organization Name | WALTER R. MULLIN, M.D, P.A |
| Practice Address |
9155 S. Dadeland Blvd Suite 1404 Miami FL 33156-2739 |
| Mailing Address |
9155 S Dadeland Blvd Suite 1404 Miami FL 33156-2737 |
| Practice Telephone | 3053251441 |
| Practice Fax Number | 3056700770 |
| Mailing Telephone | 3053251441 |
| Mailing Fax Number | 3056700770 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2013-01-18 |
| Authorized Official Name | DR. WALTER R. MULLIN (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3053251441 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE # | ME16284 | 01 |
| Street Address |
9155 S. DADELAND BLVD SUITE 1404 |
| City | MIAMI |
| State | FL |
| Zip Code | 33156-2739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930046 | Orlando Maiguel Garcia | Massage Therapist | 6500 Sw 111th St, Pinecrest, FL 33156 | 2020-10-22 |
| 1326514167 | James J Jennings Md LLC | Family Medicine | 11921 South Dixie Hwy, Ste. 201, Pinecrest, FL 33156 | 2018-10-19 |
| 1134615487 | Yanet Betancourt | Assistant Behavior Analyst | 7725 N Kendall Dr Apt 220, Miami, FL 33156 | 2018-07-10 |
| 1265922215 | Jenny C Devereaux | Social Worker | 9100 S Dadeland Blvd Suite 1500, Suite 1500, Miami, FL 33156 | 2018-05-15 |
| 1760989099 | Cyndia Talia Alfonso | Behavior Technician | 7290 Sw 90th St Apt 302, Miami, FL 33156 | 2018-04-12 |
| 1699277178 | John Addison, Dmd, Pa | Durable Medical Equipment & Medical Supplies | 9700 S. Dixie Highway Suite 910, Miami, FL 33156 | 2018-03-01 |
| 1174041313 | Erin Shay | Physician Assistant | 9155 S Dadeland Boulevard, Penthouse One, Suite 1708, Miami, FL 33156 | 2017-09-08 |
| 1699297036 | Natasha Beene | Behavioral Analyst | 7572 Sw 102nd St, Miami, FL 33156 | 2017-07-07 |
| 1174055461 | Zoryana Dudaryk | Physician Assistant | 8200 Sw 134 St, Pinecrest, FL 33156 | 2017-03-28 |
| 1639618044 | Calm Care Dental Associates, Inc | Dentist | 12531 South Dixie Highway, Pinecrest, FL 33156 | 2017-02-17 |
| Find all providers in zip 33156 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275166720 | Ph1 Miami | Plastic Surgery | 8585 Sw 72nd St Ste 107, Miami, FL 33143-3746 | 2020-02-12 |
| 1962062885 | Zunilda Rodriguez Martinez | Plastic Surgery | 7360 Sw 24th St, Miami, FL 33155-1498 | 2019-06-13 |
| 1457718207 | Otoplastikos | Plastic Surgery | 41 Se 5th St, Apt 916, Miami, FL 33131-2529 | 2016-01-25 |
| 1639592751 | Imagos Institute of Plastic Surgery | Plastic Surgery | 7190 Sw 87th Ave Ste 404, Miami, FL 33173-2512 | 2014-01-24 |
| 1689965956 | Philip Rodriguez Md Pa | Plastic Surgery | 1616 S Bayshore Dr, Miami, FL 33133-4202 | 2011-04-21 |
| 1659606465 | Xiaoti Xu | Plastic Surgery | 3150 Sw 38th Ave Suite 800, Aesthetic and Reconstructive Surgeons, Miami, FL 33146 | 2009-10-13 |
| 1306089693 | Jose Antonio Munoz | Plastic Surgery | 11776 Sw 88th St, Miami, FL 33186-2102 | 2009-04-15 |
| 1487895124 | Carlos Reydell Medina | Plastic Surgery | 11760 Bird Rd Ste 606, Miami, FL 33175-8100 | 2009-03-10 |
| 1154570042 | Steven A Earle | Plastic Surgery | 7265 Sw 93rd Ave Ste 201, Miami, FL 33173 | 2008-09-16 |
| 1497914212 | Joshua A Lampert | Plastic Surgery | 20200 W Dixie Hwy Ste 5g, Miami, FL 33180-1919 | 2008-06-06 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.