Individual
LAURA LEIGH WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1880 37TH ST, SUITE 4, VERO BEACH, FL 32960-6591
(772) 778-1400
(772) 778-4626
Mailing address
1880 37TH ST, SUITE 4, VERO BEACH, FL 32960-6591
(772) 778-1400
(772) 778-4626
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9104112
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9104112
STATE LICENSE NUMBER
FL
Enumeration date
03/20/2007
Last updated
07/08/2007
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