# WALTER R EARNEST, DPM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Walter R Earnest, DPM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861804544
- **Authorized official:** DR. WALTER RAY EARNEST DPM (DOCTOR OF PODIATRIC MEDICINE)
- **Authorized official phone:** (407) 782-6382

## Contact information

- **Practice address:** 2751 CORAL REEF WAY, TAVARES, FL 32778-5733
- **Practice address phone:** (407) 782-6382
- **Mailing address:** 2751 CORAL REEF WAY, TAVARES, FL 32778-5733
- **Mailing address phone:** (407) 782-6382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | PO1229 | FL | Yes |

## Other

- **Enumeration date:** 05/29/2014
- **Last updated:** 05/29/2014