Walsh, Robert E.

Walsh, Robert E. is an individual health care provider with primary practice located at 709 S Harbor City Blvd Suite 100, Melbourne FL 32901-1938. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Walsh, Robert E. can be contacted via phone (321) 725-2225.

Contact Information

Primary practice address
709 S Harbor City Blvd Suite 100 Melbourne FL 32901-1938
Phone: (321) 725-2225
Fax: (321) 802-5804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103429 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9103429 Florida

Profile Details

NPI number 1639137839
LBN Legal business name Walsh, Robert E.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jun 8th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639137839 NPPES
Florida MEDICAID 292448000

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