Organization
DANA V WALLACE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA V WALLACE MD (PRESIDENT)
(954) 963-5363
Entity
Organization
Contact information
Practice address
2699 STIRLING ROAD, SUITE B305, FT LAUDERDALE, FL 33312
(954) 963-5363
(954) 963-7099
Mailing address
2699 STIRLING ROAD, SUITE B305, FT LAUDERDALE, FL 33312
(954) 963-5363
(954) 963-7099
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
06/13/2006
Last updated
08/22/2020
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