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Individual

MATTHEW WALSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(954) 355-5500
Mailing address
1611 NW 12TH AVE, WEST WING 279, MIAMI, FL 33136-1005
(305) 585-7878
(305) 585-5743

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME144313
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107334000
FL
Enumeration date
03/29/2014
Last updated
04/14/2025
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