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WALTER R EARNEST DPM NPI 1861804544


NPI Information

NPI: 1861804544
Provider Name: WALTER R EARNEST, DPM

Former Legal Business Name: WALTER R EARNEST, DPM

Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
2751 CORAL REEF WAY
TAVARES, FL
ZIP 32778
Phone: (407) 782-6382
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WALTER R EARNEST, DPM is a residential treatment facility physical disabilities in Tavares, FL. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. WALTER R EARNEST, DPM NPI is 1861804544. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Walter R Earnest, Dpm.

The provider's business location address is:

2751 CORAL REEF WAY
TAVARES, FL
ZIP 32778-733
Phone: (407) 782-6382

The provider's authorized official is Walter Ray Earnest .
The authorized official title is Doctor Of Podiatric Medicine and has the following contact phone number (407) 782-6382.

The enumeration date for this NPI number is 5/29/2014 and was last updated on 5/29/2014.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320700000XResidential Treatment Facility, Physical DisabilitiesPO1229FLORIDAYes

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: 5/5/2024

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