Individual
DANIEL JUSTIN WELSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 CROSSOVER RD, CRESCENT CITY, FL 32112-4669
(937) 674-4189
Mailing address
17 DAVIS BLVD, SUITE 308, TAMPA, FL 33606-3475
(813) 250-2506
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME146760
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2017
Last updated
11/06/2020
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