Individual
DR. WALTER RAY EARNEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2751 CORAL REEF WAY, TAVARES, FL 32778-5733
(407) 782-6382
Mailing address
2751 CORAL REEF WAY, TAVARES, FL 32778-5733
(407) 782-6382
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
1229
FL
Other
Enumeration date
02/01/2015
Last updated
02/01/2015
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