OrganizationActive
Samuel Walters D.o.,p.a.
NPI 1285966499 · Primary Care Clinic/Center · Jacksonville, FL
Provider details
- NPI number
- 1285966499
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Walters, Ceo/Physician(904) 772-2727
- License
- OS8337 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6531 103rd St
Jacksonville, FL 32210-7131
Phone: (904) 772-2727
Fax: (904) 772-1693
Street-level locationGet directions
Mailing address
6531 103rd St
Jacksonville, FL 32210-7131
Registry dates
- Enumerated
- 2010-02-12
- Last updated
- 2010-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.