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NPI Code Detail

MEDICARE: THOMAS S WALTER MD

MEDICARE:   THOMAS S WALTER  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
1207VG0400XGynecology PhysicianME41933FL

General Provider Information

NPI Number : 1881681492
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS S WALTER MD
Provider Business Mailing Address
First Line : 3251 N MCMULLEN BOOTH RD
Second Line : SUITE #102
City : CLEARWATER
State : FL
Zip : 34698-2022
Country : US
Telephone Number : 727-669-6242
Fax Number :
Provider Business Practice Location Address
First Line : 3251 N MCMULLEN BOOTH RD
Second Line : STE 102
City : CLEARWATER
State : FL
Zip : 33761-2022
Country : US
Telephone Number : 727-669-6242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 10/05/2023

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Directions to “ THOMAS S WALTER MD” Practice Location

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