Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LYDIA V. WALLACE, D.O., P.A.
Active
Organization
LYDIA V. WALLACE, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYDIA VALLADARES WALLACE D.O. (OWNER)
(954) 721-8202
Entity
Organization
Contact information
Practice address
3021 N 66TH AVE, HOLLYWOOD, FL 33024-2925
(754) 281-8202
Mailing address
3021 N 66TH AVE, HOLLYWOOD, FL 33024-2925
(754) 281-8202
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
OS 10688
FL
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers