Individual
DR. WALLACE CORY WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2014 S ORANGE AVE STE 100, ORLANDO, FL 32806-3069
(407) 649-1234
Mailing address
2014 S ORANGE AVE STE 100, ORLANDO, FL 32806-3069
(407) 649-1234
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO4586
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2021
Last updated
07/11/2024
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