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Provider Information for 1902372121

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

ANDREW LAWRENCE WALSH A.P. ACUPUNCTURE

Gender: MALE

Individual NPI: 1902372121

Calendar   Last Updated:  2021-06-24
  Certification Date:  2021-06-24

Details

Name Value
NPI 1902372121
Enumeration Date 2018-10-15
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 450 E HWY 50 STE 8A
CLERMONT, FL 34711-2581
United States

Phone: 352-234-3011 | Fax: 352-608-9344
View Map External Link
Primary Practice Address 450 E HWY 50 STE 8A
CLERMONT, FL 34711-2581
United States

Phone: 352-234-3011 | Fax: 352-608-9344
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 193400000X SINGLE SPECIALTY GROUP
171100000X - Acupuncturist
FL 3693