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MR. FRED CARTER EWALT PA
NPI 1487629267
Physician Assistant - Medical in Jacksonville, FL

Active since February 23, 2006
2080 CHILD ST, JACKSONVILLE, FL 32214(904) 542-7765(904) 542-7835 Get Directions Write a Review

NPPES record last updated: November 10, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Fred Carter Ewalt Pa NPPES

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

MR. FRED CARTER EWALT PA (NPI 1487629267) is an individual medical provider in Jacksonville, Florida, licensed in Florida (1462446) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1487629267
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. FRED CARTER EWALTCredential: PA
Location Address2080 CHILD STJacksonville, FL 32214-5005
Mailing Address2080 Child StJacksonville, FL 32214-5005 · (904) 542-7765 · Fax (904) 542-7835
Phone(904) 542-7765
Fax(904) 542-7835
Sole ProprietorNo
Enumeration DateFebruary 23, 2006
Last NPPES UpdateNovember 10, 2009
✔ NPI 1487629267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · 1462446
2080 CHILD ST, Jacksonville, FL 32214
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARGARET DEGGES ALEXANDER D.D.S.
Dentist (Pediatric Dentistry)
2080 CHILD ST, NAVAL HOSPITAL JACKSONVILLE
JACKSONVILLE, FL 32214
Duval County (904) 542-7540
WILLIAM K BOTT M.D.
Orthopaedic Surgery
2080 CHILD ST, NAVAL HOSPITAL JACKSONVILLE--ORTHO DEPT
JACKSONVILLE, FL 32214
Duval County (904) 542-7366
DR. MICHAEL ALVIS CLEVELAND PHARMD
Pharmacist
2080 CHILD ST, NAVAL HOSPITAL JACKSONVILLE PHARMACY DEPT
JACKSONVILLE, FL 32214
Duval County (904) 542-7406
PETER KEENE TRUE M. D.
Psychiatry & Neurology (Psychiatry)
2080 CHILD ST, U. S. NAVAL HOSPITAL JACKSONVILLE NAS JAX
JACKSONVILLE, FL 32214
Duval County (904) 542-3473
NAVAL HOSPITAL JACKSONVILLE
Emergency Medicine
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7787
MS. MARY KATHERINE JACKSON FNP
Nurse Practitioner (Family)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7516
DR. JOHN HAWLEY D.O.
Psychiatry & Neurology (Neurology)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7373
DR. LESTER WASHBURN ROMINE M.D.
Internal Medicine
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 270-4220

Frequently Asked Questions

What is Fred Ewalt's NPI number?

The NPI number assigned to this healthcare provider is 1487629267, enumerated as an "individual" on February 23, 2006.

Where is the provider located?

The provider is located at 2080 CHILD ST JACKSONVILLE, FL 32214 and the phone number is (904) 542-7765.

What is the provider's specialty?

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.