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NPI Code Detail

MEDICARE: DR. PETER JOHN WALTON MD

MEDICARE: DR. PETER JOHN WALTON MD
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
1207Q00000XFamily Medicine PhysicianME0073900FL

General Provider Information

NPI Number : 1154498400
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER JOHN WALTON MD
Provider Business Mailing Address
First Line : 14502 N DALE MABRY HWY STE 200
Second Line :
City : TAMPA
State : FL
Zip : 33618-2040
Country : US
Telephone Number : 727-404-8856
Fax Number : 727-390-0621
Provider Business Practice Location Address
First Line : 14502 N DALE MABRY HWY STE 200
Second Line :
City : TAMPA
State : FL
Zip : 33618-2040
Country : US
Telephone Number : 727-404-8856
Fax Number : 727-390-0621
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 01/15/2025

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