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Individual
DR. TRACY WALSH
Active
Individual
DR. TRACY WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME116050
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009157000
—
FL
01
—
14Q9T
BCBS
FL
01
—
HH964Z
MEDICARE
FL
Enumeration date
07/21/2010
Last updated
03/30/2020
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