Provider Demographics
NPI:1538101597
Name:FURMAN, WALTER K (MD)
Entity Type:Individual
Prefix:DR
First Name:WALTER
Middle Name:K
Last Name:FURMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2750 BAHIA VISTA ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2600
Mailing Address - Country:US
Mailing Address - Phone:941-951-2669
Mailing Address - Fax:941-957-4437
Practice Address - Street 1:2750 BAHIA VISTA ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2600
Practice Address - Country:US
Practice Address - Phone:941-951-2663
Practice Address - Fax:941-957-4437
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0048996207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4818310001Medicare NSC
FLD84732Medicare UPIN
FL02508YMedicare ID - Type UnspecifiedINDIVIDUAL PROVIDER#