Individual
JOHN D WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1455 NW 53RD ST APT 222, MIAMI, FL 33142
(904) 418-3893
Mailing address
15286 SW 104TH ST APT 2-22, MIAMI, FL 33196-3238
(904) 418-3893
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
372600000X
Adult Companion
235276
FL
376J00000X
Homemaker
Primary
235276
FL
385H00000X
Respite Care
235276
FL
Other
Enumeration date
09/30/2013
Last updated
06/29/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us