MEDICARE: JEFFREY S. WALKER, MD, PA

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	207T00000X	Neurological Surgery Physician

General Provider Information

NPI Number	:	1528020179
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFFREY S. WALKER, MD, PA

Provider Business Mailing Address
First Line	:	PO BOX 9623
Second Line	:
City	:	TREASURE ISLAND
State	:	FL
Zip	:	33740-9623
Country	:	US
Telephone Number	:	727-528-5941
Fax Number	:	727-528-5942

Provider Business Practice Location Address
First Line	:	6006 49TH ST N
Second Line	:	#350
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33709-2148
Country	:	US
Telephone Number	:	727-528-5941
Fax Number	:	727-528-5942

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEFFREY S WALKER
Credential	:	M.D.
Telephone Number	:	727-528-5941

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	08/22/2020

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