Individual
MICHAEL WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
900 N ROBERTS AVE, DESOTO MEMORIAL HOSPITAL, ARCADIA, FL 34266-8765
(863) 494-8475
Mailing address
165 2ND ST W, ST PETERSBURG, FL 33715-1710
(727) 867-5722
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2643722
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00420652
MEDICARE RAILROAD
FL
Enumeration date
09/19/2005
Last updated
11/27/2007
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