Individual
COLLEEN WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
287 S CENTRAL AVE, UMATILLA, FL 32784-8411
(352) 747-0747
Mailing address
PO BOX 2485, UMATILLA, FL 32784-2485
(352) 551-9404
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
11011114
FL
Other
Enumeration date
01/11/2021
Last updated
01/21/2021
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