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NPI Code Detail

MEDICARE: MR. DONTA WALKER

MEDICARE: MR. DONTA WALKER
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1659039337
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DONTA WALKER
Provider Business Mailing Address
First Line : 1904 FARRAGUT PL
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-3420
Country : US
Telephone Number : 321-662-7141
Fax Number :
Provider Business Practice Location Address
First Line : 1904 FARRAGUT PL
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-3420
Country : US
Telephone Number : 321-662-7141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2021
Last Update Date : 04/09/2025

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Directions to “ MR. DONTA WALKER ” Practice Location

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