Mary Jane Walter in Palm Coast - Podiatrist
Mary Jane Walter - NPI 1821105859
Mary Jane Walter is a Podiatrist in Palm Coast, Florida. Mary Jane Walter practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Mary Jane Walter is 1821105859. The last update date is 2012-03-29.
Mary Jane Walter's current location address is 11 Florida Park Dr, Palm Coast, Florida. You can contact this provider via phone number 3864454734 and fax number 3864458411. The mailing address for Mary Jane Walter is 11 Florida Park Dr, Palm Coast, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jane Walter |
|---|---|
| Address | 11 Florida Park Dr, Palm Coast, Florida |
| Phone Number | 3864454734 |
| Fax Number | 3864458411 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1821105859 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2012-03-29 |
Provider Mailing Address Detail
| Address | 11 Florida Park Dr |
|---|---|
| City | Palm Coast |
| State | Florida (FL) |
| Post Code | 32137 |
| Phone Number | 3864454734 |
| Fax Number | 3864458411 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | PO-1735 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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What is the unique 10-digit identifier code issued to Mary Jane Walter by the Centers for Medicare & Medicaid Services?
The Mary Jane Walter has been assigned the NPI (National Provider Identifier) 1821105859 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Mary Jane Walter's physical address?
The Mary Jane Walter is physically located at 11 Florida Park Dr, in the city of Palm Coast, FL, with the postal code 32137.
What is Mary Jane Walter's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Jane Walter's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
When was the Mary Jane Walter's 1821105859 issued?
The Mary Jane Walter's 1821105859 was issued on 2006-08-24.
As of what date were the Mary Jane Walter's details last updated?
The information pertaining to the Mary Jane Walter, including its address, specialty, and other details, was most recently updated on 2012-03-29.