MEDICARE: DR. MELISSA WALSH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	274658	NY
2	207V00000X	Obstetrics & Gynecology Physician	ME147254	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144532912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA WALSH M.D.

Provider Business Mailing Address
First Line	:	1102 S MOODY AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-4725
Country	:	US
Telephone Number	:	646-509-0887
Fax Number	:

Provider Business Practice Location Address
First Line	:	1102 S MOODY AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-4725
Country	:	US
Telephone Number	:	646-509-0887
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2010
Last Update Date	:	05/16/2025

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