# ID CONSULTS AND SERVICES, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043551468
- **Authorized official:** MR. DARRYL WALLACE (MANAGER)
- **Authorized official phone:** (305) 615-3300

## Contact information

- **Practice address:** 3142 NORTHSIDE DR, SUITE 101, KEY WEST, FL 33040-8012
- **Practice address phone:** (305) 615-3300
- **Mailing address:** 3142 NORTHSIDE DR STE 101, KEY WEST, FL 33040-8012
- **Mailing address phone:** (305) 615-3300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | ME 114239 | FL | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/11/2013
- **Last updated:** 07/21/2026