Individual provider · Type 1 NPI

Gracemarie Rosario Walls, PA-C

Physician Assistant · Orlando, FL

NPI number 1356766620 Active

Practice location

13564 Village Park Dr Unit O-355
Orlando, FL 32837-7760

Fax (407) 550-7844

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9108066 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1356766620

Gracemarie Rosario Walls, PA-C's National Provider Identifier is 1356766620, issued on Feb 24, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Orlando, FL. The record was last updated on Oct 25, 2025.