Individual
DR. DAVID GARTH WALTERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 W MIDWAY RD, FORT PIERCE, FL 34981-4955
(772) 467-0961
(772) 467-6683
Mailing address
2900 W MIDWAY RD, FORT PIERCE, FL 34981-4955
(772) 467-0961
(772) 467-6683
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0050509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11556
BCBS PROVIDER NUMBER
FL
01
—
ME0050509
MEDICAL LICENSE
FL
Enumeration date
06/07/2006
Last updated
07/08/2007
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