Provider Type Icon

JANE WALTER D.P.M. P.A. NPI 1720388580


NPI Information

NPI: 1720388580
Provider Name: JANE WALTER D.P.M., P.A.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
11 FLORIDA PARK DR N
PALM COAST, FL
ZIP 32137
Phone: (386) 445-4734
Get Directions

JANE WALTER D.P.M., P.A. is a clinic center in Palm Coast, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). JANE WALTER D.P.M., P.A. NPI is 1720388580. The provider is registered as an organization entity type.

The provider's business location address is:

11 FLORIDA PARK DR N
PALM COAST, FL
ZIP 32137-866
Phone: (386) 445-4734
Fax: (386) 445-8411

The provider's authorized official is Jane Walter .
The authorized official title is Owner and has the following contact phone number (386) 445-4734.

The enumeration date for this NPI number is 10/27/2010 and was last updated on 4/22/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterPO1735FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10774230001MEDICARE NSCFLORIDA
2FQ452AMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.