Provider Demographics
NPI:1003835729
Name:SEIFERT, WALTER LAMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:WALTER
Middle Name:LAMAR
Last Name:SEIFERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:393 CENTERPOINTE CIR
Mailing Address - Street 2:SUITE 1483
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-3453
Mailing Address - Country:US
Mailing Address - Phone:407-212-5589
Mailing Address - Fax:800-234-0702
Practice Address - Street 1:258 E ALTAMONTE DR STE 1000
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-4332
Practice Address - Country:US
Practice Address - Phone:407-212-5589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME108299207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
BO665ZMedicare PIN