Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edward Waller Jr.

Individual provider Counselor · NPI 1811387178

Edward Waller Jr. is a Counselor in Plant City, Florida. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

1001 E Baker St SUITE100
Plant City, FL 33563-3700
Phone: (813) 754-5555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1811387178
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 26, 2015
Last updated in NPPESJanuary 26, 2015

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