Individual
WALLY PLANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28420 BONITA XING BLVD UNIT 110, BONITA SPRINGS, FL 34135-3203
(239) 235-0385
(239) 343-7008
Mailing address
28420 BONITA CROSSINGS BLVD UNIT 110, BONITA SPRINGS, FL 34135-3203
(239) 235-0385
(239) 237-5574
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME135129
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100164900
—
FL
Enumeration date
05/19/2014
Last updated
07/15/2024
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