Individual
MR. DONTA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1904 FARRAGUT PL, JACKSONVILLE, FL 32207-3420
(321) 662-7141
Mailing address
1904 FARRAGUT PL, JACKSONVILLE, FL 32207-3420
(321) 662-7141
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
04/09/2025
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