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1336119817
SAMUEL WALTERS
JACKSONVILLE, FL
NPI
1336119817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS8337)
Enumeration Date
2006-01-25
Last Update Date
2024-02-06
Business Address
SAMUEL WALTERS D.O.
7451 103RD ST STE 8
JACKSONVILLE, FL 32210-6788
Phone number: 904-683-4968
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Mailing Address
SAMUEL WALTERS D.O.
2675 WINKLER AVE FL 2
FORT MYERS, FL 33901-9342
Phone number: 877-856-3774
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