Walter, Mary Jane

Walter, Mary Jane is an sole proprietor health care provider with primary practice located at 11 Florida Park Dr , Palm Coast FL 32137. She recently has 6 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is her primary health care specialty. Walter, Mary Jane can be contacted via phone (386) 445-4734.

Contact Information

Primary practice address
11 Florida Park Dr Palm Coast FL 32137
Phone: (386) 445-4734
Fax: (386) 445-8411
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO-1735 Florida
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X PO-1735 Florida
Podiatric Medicine & Surgery Service Providers / Radiology 213ER0200X PO1735 Florida
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X PO1735 Florida
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO1735 Florida
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO-1735 Florida

Profile Details

NPI number 1821105859
LBN Legal business name Walter, Mary Jane
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2006
Last updated Mar 29th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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