Walters, David Garth

Walters, David Garth is an individual health care provider with primary practice located at 2900 W Midway Rd , Fort Pierce FL 34981-4955. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Walters, David Garth can be contacted via phone (772) 467-0961.

Contact Information

Primary practice address
2900 W Midway Rd Fort Pierce FL 34981-4955
Fax: (772) 467-6683
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0050509 Florida

Profile Details

NPI number 1356381446
LBN Legal business name Walters, David Garth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356381446 NPPES
Florida Other 11556 BCBS PROVIDER NUMBER
Florida Other ME0050509 BCBS PROVIDER NUMBER

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