Michael Welch

NPI 1063802015 - Physician Assistant - 363A00000X

NPI Details
NPI 1063802015
Gender Male
Enumeration Date 01/29/2015
Last Updated 01/29/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
5050 S FLORIDA AVE
LAKELAND FL, 33813-2501, US
Phone (863) 688-3030
Fax
Business Location
5050 S FLORIDA AVE
LAKELAND FL, 33813-2501, US
Phone (863) 688-3030
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PA9108511
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According to our database, Michael Welch NPI is 1063802015, taxonomy code is 363A00000X and license number is PA9108511, license state is located at Florida. Michael Welch physically located at 5050 S Florida Ave, Lakeland FL, 33813-2501. NPI Number Michael Welch has the Individual type.

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1063802015 NPI number is provided on an as is basis without warranty of any kind. 1063802015 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Welch are for informational purposes only.