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1437152600

NPI Code Detail

MEDICARE: DR. JAMES TIMOTHY WALSH MD

MEDICARE: DR. JAMES TIMOTHY WALSH MD

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	207RC0001X	Clinical Cardiac Electrophysiology Physician	ME58013	FL
2	207RC0001X	Clinical Cardiac Electrophysiology Physician	47676	GA

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	814075	OTHER	GA	BCBS
5	0897736	OTHER	FL	AETNA
6	100723	OTHER	FL	AVMED
7	10712	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1437152600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES TIMOTHY WALSH MD

Provider Business Mailing Address
First Line	:	1824 KING STREET
Second Line	:	SUITE 300
City	:	JACKSONVILLE
State	:	FL
Zip	:	32204-4736
Country	:	US
Telephone Number	:	904-388-1820
Fax Number	:	904-388-1827

Provider Business Practice Location Address
First Line	:	1824 KING STREET
Second Line	:	SUITE 300
City	:	JACKSONVILLE
State	:	FL
Zip	:	32204-4736
Country	:	US
Telephone Number	:	904-388-1820
Fax Number	:	904-388-1827

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	05/28/2014

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Directions to “ DR. JAMES TIMOTHY WALSH MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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