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Individual

DR. MATTHEW WALSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3200 S UNIVERSITY DR, ZIFF BUILDING, 2ND FLOOR, DAVIE, FL 33328-2018
(954) 262-4200
Mailing address
922 SE 35TH ST, CAPE CORAL, FL 33904-4779
(239) 542-9298

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
TUV007630
NY
152WV0400X
Vision Therapy Optometrist
Primary
OPC4575
FL
152WV0400X
Vision Therapy Optometrist
TUV007630
NY

Other

Enumeration date
07/27/2010
Last updated
06/18/2015
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