| Walter D. Devault III M.D. P.A. | |
|
816 Se Ocean Blvd Stuart FL 34994-2428 | |
| (772) 286-5551 | |
| (772) 286-3026 |
| Full Name | Walter D. Devault III M.D. P.A. |
|---|---|
| Speciality | Internal Medicine |
| Location | 816 Se Ocean Blvd, Stuart, Florida |
| Authorized Official Name and Position | Walter D Devault (OWNER) |
| Authorized Official Contact | 7722865551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walter D. Devault III M.D. P.A. 816 Se Ocean Blvd Stuart FL 34994-2428 Ph: (772) 286-5551 | Walter D. Devault III M.D. P.A. 816 Se Ocean Blvd Stuart FL 34994-2428 Ph: (772) 286-5551 |
| NPI Number | 1023299609 |
|---|---|
| Provider Enumeration Date | 11/23/2007 |
| Last Update Date | 11/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023299609 | NPI | - | NPPES |
| 35751 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME79492 (Florida) | Primary |
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