MEDICARE: WALTER R GILBERT JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	MEOO13255	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	406182135	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932104197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WALTER R GILBERT JR. M.D.

Provider Business Mailing Address
First Line	:	3 SHIRCLIFF WAY
Second Line	:	STE 122
City	:	JACKSONVILLE
State	:	FL
Zip	:	32204-4757
Country	:	US
Telephone Number	:	904-384-2333
Fax Number	:	904-388-9132

Provider Business Practice Location Address
First Line	:	3 SHIRCLIFF WAY
Second Line	:	STE 122
City	:	JACKSONVILLE
State	:	FL
Zip	:	32204-4757
Country	:	US
Telephone Number	:	904-384-2333
Fax Number	:	904-388-9132

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	04/18/2008

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