Individual
DR. JAMES TIMOTHY WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1824 KING STREET, SUITE 300, JACKSONVILLE, FL 32204-4736
(904) 388-1820
(904) 388-1827
Mailing address
1824 KING STREET, SUITE 300, JACKSONVILLE, FL 32204-4736
(904) 388-1820
(904) 388-1827
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
47676
GA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME58013
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00512905A
—
GA
05
—
00512905B
—
GA
01
—
0897736
AETNA
FL
01
—
100723
AVMED
FL
01
—
10712
BCBS
FL
05
—
251287400
—
FL
01
—
814075
BCBS
GA
Enumeration date
05/23/2005
Last updated
05/28/2014
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