Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Samuel Walters DO, PA

Organization Primary Care Clinic/Center · NPI 1285966499

Samuel Walters DO, PA provides Primary Care Clinic/Center services in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6531 103rd St
Jacksonville, FL 32210-7131 Not confirmed with CMS for 16 years — call before visiting
Phone: (904) 772-2727
Fax: (904) 772-1693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence OS8337 (FL)

Record details

NPI number1285966499
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Walters — Ceo/Physician · (904) 772-2727
NPI enumeratedFebruary 12, 2010
Last updated in NPPESJuly 3, 2010
Mailing address6531 103rd St, Jacksonville, FL 32210-7131

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