Individual ProviderCarol A WalshNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2702 S Orange Ave, Orlando, FL 32806-5402(617) 833-8872PECOS EnrollmentBased on the most recent information from CMS, provider Carol A Walsh does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1861412090Provider TypeIndividualFull NameWalsh, Carol ATitleMs.CredentialFNPGenderFemaleSole ProprietorNoEnumeration Date7/20/2006Last Updated11/6/2015Contact InformationPractice LocationPractice Address2702 S Orange Ave, Orlando, FL 32806-5402Phone(617) 833-8872FaxUnlisted FaxMailing LocationMailing Address21034 Royal St Georges Ln, Leesburg, FL 34748-7758Phone(617) 833-8872FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense9407305Florida