Samuel Walters D.O.,P.A.

LBN: Samuel Walters D.O.,P.A.
Samuel Walters D.O.,P.A. is an health care organization with primary practice located at 6531 103Rd St , Jacksonville FL 32210-7131. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Samuel Walters D.O.,P.A. can be contacted via phone (904) 772-2727, or through Walters, Samuel via phone (904) 772-2727.

Contact Information

Primary practice address
6531 103Rd St Jacksonville FL 32210-7131
Phone: (904) 772-2727
Fax: (904) 772-1693
Website:
Map and Directions
Authorized official contact:
Name: Walters, Samuel Doctor of Osteopathy (DO)
Phone: (904) 772-2727

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X OS8337 Florida

Profile Details

NPI number 1285966499
LBN Legal business name Samuel Walters D.O.,P.A.
DBA Doing business as
Authorized official Walters, Samuel Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2010
Last updated Jul 3rd, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285966499 NPPES
Florida MEDICAID 261008600

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