Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Walter Sutton Spence III, PA-C

Individual provider Physician Assistant · NPI 1386048684

Mr. Walter Sutton Spence III, PA-C is a Physician Assistant in Bradenton, Florida. Qualified in 2014, 12 years ago. Practices with Observation Medical Group LLC, a 55-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2020 59th St W
Bradenton, FL 34209-4604
Phone: (941) 792-6611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9108341 (FL)

Record details

NPI number1386048684
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 15, 2014
Last updated in NPPESOctober 15, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Observation Medical Group Llc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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