Walters, Samuel
Walters, Samuel is an individual health care provider with primary practice located at 7451 103Rd St Ste 8 , Jacksonville FL 32210-6788. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Walters, Samuel can be contacted via phone (904) 683-4968.Contact Information
Primary practice address
7451 103Rd St Ste 8
Jacksonville FL 32210-6788
Phone: (904) 683-4968
Fax: (904) 902-1202
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS8337 | Florida |
Profile Details
NPI number | 1336119817 |
---|---|
LBN Legal business name | Walters, Samuel |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2006 |
Last updated | Feb 6th, 2024 - about 10 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336119817 | NPPES |
Florida | MEDICAID | 261008600 |
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