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SAMUEL WALTERS D.O.,P.A.
NPI 1285966499
Clinic/Center - Primary Care in Jacksonville, FL

Active since February 12, 2010
6531 103RD ST, JACKSONVILLE, FL 32210(904) 772-2727(904) 772-1693 Get Directions Write a Review

NPPES record last updated: July 3, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Walters D.o.,p.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL WALTERS D.O.,P.A. (NPI 1285966499) is a healthcare organization registered as a primary care in Jacksonville, Florida and active in the NPI registry since February 2010. The organization lists Samuel Walters, Ceo/physician, as its authorized official.

NPPES Registry Identity

NPI1285966499
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSAMUEL WALTERS D.O.,P.A.
Location Address6531 103RD STJacksonville, FL 32210-7131
Mailing Address6531 103rd StJacksonville, FL 32210-7131 · (904) 772-2727 · Fax (904) 772-1693
Phone(904) 772-2727
Fax(904) 772-1693
Organization SubpartNo
Authorized OfficialSamuel WaltersCeo/physician · (904) 772-2727
Enumeration DateFebruary 12, 2010
Last NPPES UpdateJuly 3, 2010
✔ NPI 1285966499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in FL · OS8337
6531 103RD ST, Jacksonville, FL 32210
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Other Identifiers 3

Medicare PINCV529AFL
Medicare UPINH04251FL
Medicaid261008600FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Walters D.O.,p.A.'s NPI number?

The NPI number for Samuel Walters D.O.,p.A. is 1285966499. It was assigned to this organization in the NPPES registry on February 12, 2010.

Where is Samuel Walters D.O.,p.A. located?

Samuel Walters D.O.,p.A. is located at 6531 103rd St, Jacksonville, FL 32210. The listed phone number is (904) 772-2727.

What is Samuel Walters D.O.,p.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Samuel Walters D.O.,p.A. was last updated on July 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.