DR. Danielle Charisse Wallace, M.D.

NPI #1114147006 in Winter Park, Florida

Provider Information

NPI Number: 1114147006
Entity Type: Individual
Name: DR. Danielle Charisse Wallace, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Apr 26, 2007
Last Updated: Jun 13, 2023

Practice Location

Address: 1801 LEE RD STE 165
City: Winter Park
State: Florida
ZIP Code: 32789
Phone: (407) 975-0410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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