Jolan E Walter
Allergist & Immunologist Pediatric Allergist
601 5th St S Ach Outpatient Care Center
St Petersburg
, Florida 33701-4804
Jolan E Walter
Allergist & Immunologist Pediatric Allergist
601 5th St S Ach Outpatient Care Center
St Petersburg
, Florida 33701-4804
(813) 974-2812
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About
Features
Specialties
- Allergist & Immunologist
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Jolan E Walter
- Po Box 917770
- Orlando, FL
- Zip : 32891-0001
- Fax : (813) 974-2812
- Phone : (813) 974-2201
Second Address
- Jolan E Walter
- 601 5th St S Ach Outpatient Care Center
- St Petersburg, FL
- Zip : 33701-4804
- Phone : (727) 898-7451
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207K00000X | Allergist & Immunologist | 233737 | MA |
| Y | 2080P0201X | Pediatric Allergist | ME127615 | FL |
National Provider Identifier
| NPI | 1467649525 |
|---|---|
| Provider Name | Jolan E Walter |
| First Address | Orlando, FL 32891-0001 |
| Second Address | St Petersburg, FL 33701-4804 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2007 |
| Last Update Date | 27/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 017059500 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.