Individual provider · Type 1 NPI

Dylan Jarod Walter, MD

Student in an Organized Health Care Education/Training Program · Lakeland, FL

NPI number 1205464567 Active

Practice location

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543

Mailing address

501 Knights Run Ave
Tampa, FL 33602-5938

Other practice locations

  • 3800 Reservoir Rd NW Dept Of, Washington, DC 20007-2113 · (202) 444-8168

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XME170075 (FL)
Hospitalist Physician 208M00000XME170075 (FL)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205464567

Dylan Jarod Walter, MD's National Provider Identifier is 1205464567, issued on Mar 31, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lakeland, FL. The record was last updated on Jun 3, 2025.