Individual
SYLVIA FAE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
1575 SANTA BARBARA BLVD, THE VILLAGES, FL 32159-6820
(352) 674-1740
(352) 674-8940
Mailing address
1020 LAKE SUMTER LNDG, THE VILLAGES, FL 32162-2699
(352) 674-8820
(352) 674-8919
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN1957902
FL
Other
Enumeration date
05/22/2007
Last updated
08/15/2025
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