# JOHN ALAN WALSH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1932271541
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | ME78805 | FL | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 07/29/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 111087700 | — | FL |
| 01 | — | 225976 | HEALTHEASE MEDICAID | FL |
| 01 | — | P00119721 | RAILROAD MEDICARE | FL |
| 01 | — | Q0466 | MEDICARE | — |