Organization
JANE WALTER D.P.M., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE WALTER D.P.M. (OWNER)
(386) 445-4734
Entity
Organization
Contact information
Practice address
11 FLORIDA PARK DR N, PALM COAST, FL 32137-3866
(386) 445-4734
(386) 445-8411
Mailing address
11 FLORIDA PARK DR N, PALM COAST, FL 32137-3866
(386) 445-4734
(386) 445-8411
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
PO1735
FL
Other
Enumeration date
10/27/2010
Last updated
04/22/2013
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