Individual
DOUGLAS A WALSH SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1231 N TUTTLE AVE, SARASOTA, FL 34237-3116
(941) 366-0134
(941) 951-1795
Mailing address
4440 FRUITVILLE RD, SARASOTA, FL 34232-1926
(941) 366-0134
(941) 404-1760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS3589
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052447600
—
FL
Enumeration date
06/22/2005
Last updated
06/25/2019
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