WALLACE FAMILY PRACTICE PA

NPI # 

Practice Address:

3400 Lee Blvd , Suite 108

Lehigh Acres, FL, 33971-1309

Practice Phone:

239-369-2903

Practice Fax:

239-369-0500

License Number:

OS8622

License State:

FL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Code:

261Q00000X

Updated by NPPES on 12/29/2010. You can view the original data set for NPI # 1063548410 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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WALLACE FAMILY PRACTICE PA's

CMS CPT® coding data

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WALLACE FAMILY PRACTICE PA's

CMS prescription data

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