John A Walsh Md Pa

LBN: John A Walsh Md Pa
John A Walsh Md Pa is an health care organization with primary practice located at 14 Office Park Dr Ste 7 , Palm Coast FL 32137-3830. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. John A Walsh Md Pa can be contacted via phone (386) 302-5064, or through Walsh, John Alan via phone (386) 328-0245.

Contact Information

Primary practice address
14 Office Park Dr Ste 7 Palm Coast FL 32137-3830
Phone: (386) 302-5064
Fax: (386) 302-5093
Website:
Map and Directions
Authorized official contact:
Name: Walsh, John Alan Doctor of Medicine (MD)
Phone: (386) 328-0245

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME78805 Florida

Profile Details

NPI number 1275589152
LBN Legal business name John A Walsh Md Pa
DBA Doing business as
Authorized official Walsh, John Alan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Jul 29th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275589152 NPPES
Florida MEDICAID 110996800
Florida Other Q0466

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