Provider Demographics
NPI:1972505451
Name:WALKER, JEFFREY SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:SCOTT
Last Name:WALKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10324 GULF BLVD
Mailing Address - Street 2:#201
Mailing Address - City:TREASURE ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33706-4886
Mailing Address - Country:US
Mailing Address - Phone:727-289-5821
Mailing Address - Fax:727-290-6106
Practice Address - Street 1:10324 GULF BLVD
Practice Address - Street 2:#201
Practice Address - City:TREASURE ISLAND
Practice Address - State:FL
Practice Address - Zip Code:33706-4886
Practice Address - Country:US
Practice Address - Phone:727-289-5821
Practice Address - Fax:727-290-6106
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME46811207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL035248900Medicaid
FL62588OtherBCBS OF FL
FLP00209046OtherRAILROAD MEDICARE
FL035248900Medicaid