DR. CLINTON WALLS (NPI# 1811376411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811376411 |
| Entity Type | Individual |
| Full Name | DR. CLINTON WALLS |
| Credential | M.D. |
| Practice Address |
1700 S Tamiami Trl Sarasota FL 34239-3509 |
| Mailing Address |
Po Box 863407 Orlando FL 32886-3407 |
| Practice Telephone | 9419174896 |
| Practice Fax Number | 9419176884 |
| Mailing Telephone | 9419172600 |
| Mailing Fax Number | 9419177884 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2018-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 076987 | GA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | ME134419 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 21875 | FL | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2780 Cleveland Ave, Ste 709, Fort Myers, FL 339015858 | 2393432371 |
| Street Address |
1700 S TAMIAMI TRL |
| City | SARASOTA |
| State | FL |
| Zip Code | 34239-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661185 | Wayne S Blake | Internal Medicine | 1700 S Tamiami Trl, Sarasota, FL 34239 | 2005-06-28 |
| 1386244937 | Bradley Bramante Inzalaco | Registered Nurse | 1700 S Tamiami Trl, Sarasota, FL 34239-3555 | 2020-10-31 |
| 1235739293 | Kevin Lekawa | Nurse Practitioner | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-10-29 |
| 1295334449 | Sarah Spivey Stephenson | Surgery | 1700 S Tamiami Trl, Sarasota, FL 34239-3555 | 2020-10-20 |
| 1043829435 | Samer Bassam Taher Khader | Internal Medicine | 1700 S Tamiami Trl, Sarasota, FL 34239-3555 | 2020-07-30 |
| 1578172623 | Martin Dean Faile | Pharmacist | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-07-24 |
| 1194333674 | Dana Devine Gau | Nurse Practitioner | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-07-21 |
| 1063020121 | Erica Warkus | Student in an Organized Health Care Education/Training Program | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-07-15 |
| 1336767904 | Kevin Gil | Student in an Organized Health Care Education/Training Program | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-07-10 |
| 1558989103 | Stephanie Murphy | Student in an Organized Health Care Education/Training Program | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203327 | All-in-one Medical Clinic | Chiropractor | 3436 Bee Ridge Road, Sarasota, FL 34239 | 2019-12-26 |
| 1134782295 | Kafayat Adebukola Busari | Student in an Organized Health Care Education/Training Program | Florida State University/ Sarasota Memorial Hospital, 1700 South Tamiami Trail, Sarasota, FL 34239 | 2019-04-15 |
| 1235600495 | Karen Andrea Gonzalez | Speech-Language Pathologist | 1524 East Ave South, Sarasota, FL 34239 | 2018-12-16 |
| 1659852101 | Tori Alexandra Phelps | Behavioral Analyst | 2324 Prospect Street, Sarasota, FL 34239 | 2018-08-23 |
| 1518450519 | Love To Care4u Homecare | Adult Companion | 3800 Tamiami Trail Ste 105, Sarasota, FL 34239 | 2018-06-13 |
| 1881119691 | Life Awaits Acupuncture | Acupuncturist | 3030 S Tamiami Trail, Sarasota, FL 34239 | 2017-08-14 |
| 1275084600 | Srq Acupuncture & Massage | Acupuncturist | 1810 South Tuttle Ave, Sarasota, FL 34239 | 2016-10-20 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
| 1407246093 | Rhett Ethan Bogacz | Chiropractor | 3400 Bee Ridge Rd Ste 100, Sarasota, FL 34239 | 2015-02-03 |
| 1023436136 | Sarah J. Somer | Obstetrics & Gynecology | 1921 Waldemere St Ste 307, Sarasota, FL 34239 | 2014-04-04 |
| Find all providers in zip 34239 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553963 | Sarasota Healthcare 168 LLC | Family Medicine | 2888 Ringling Blvd Unit C and D, Sarasota, FL 34237-5331 | 2020-03-12 |
| 1235696139 | Verimed Health Group Sarasota, LLC | Family Medicine | 5741 Bee Ridge Rd Ste 220, Sarasota, FL 34233-5083 | 2019-02-27 |
| 1447797519 | Yen Le | Family Medicine | 1750 17th Street Building E Sally and Sam, Shapiro Babies and Children Medical Center, Sarasota, FL 34234 | 2017-01-26 |
| 1326423898 | In Home Healthcare LLC | Family Medicine | 911 70th Dr E, Sarasota, FL 34243-1223 | 2015-07-27 |
| 1427440684 | Sarasota Primary Care, LLC | Family Medicine | 3333 Clark Rd Ste 190, Sarasota, FL 34231 | 2015-02-25 |
| 1700297942 | Anna Marie Lowell | Family Medicine | 6981 Curtiss Ave Ste 4, Sarasota, FL 34231-8111 | 2014-05-09 |
| 1518394840 | Hani J. Khella | Family Medicine | 1451 Tallevast Rd, Sarasota, FL 34243-5036 | 2013-10-01 |
| 1982984134 | Angelheart LLC | Family Medicine | 3004 Seasons Boulivard, Sarasota, FL 34240 | 2011-08-19 |
| 1356654511 | Dana Suzanne Fabiani | Family Medicine | 5573 Marquesas Cir Unit 9b, Sarasota, FL 34233-3332 | 2010-07-16 |
| 1982929709 | Mcr Health, Inc. | Family Medicine | 1945 Northgate Blvd, Sarasota, FL 34234-2143 | 2010-04-05 |
| Find all providers in SARASOTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.