Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel Walters, DO

Individual provider Family Medicine Physician · NPI 1336119817

Samuel Walters, DO is a Family Practice in Jacksonville, Florida. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 1996, 30 years ago. Practices with City Medical of Upper East Side PLLC, a 663-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
30
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
FL
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

7451 103rd St Ste 8
Jacksonville, FL 32210-6788
Phone: (904) 683-4968
Fax: (904) 902-1202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS8337 (FL)

Record details

NPI number1336119817
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 25, 2006
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024
Mailing address2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 1996 (30 years in practice)
Group practice City Medical Of Upper East Side Pllc — 663 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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