Individual
DOUGLAS A WALSH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
919 53RD AVE E, BRADENTON, FL 34203-4801
(941) 751-8100
(941) 751-8127
Mailing address
700 8TH AVE W, STE 101, PALMETTO, FL 34221-4737
(941) 776-4008
(941) 845-4963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS6707
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267850100
—
FL
Enumeration date
06/22/2005
Last updated
03/24/2017
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