Dana V Wallace MD PA
NPI #1114960879 in Ft Lauderdale, Florida
Provider Information
- NPI Number
- 1114960879
- Entity Type
- Organization
- Organization Name
- Dana V Wallace MD PA
- Primary Specialty
- Allergy & Immunology
- Enumeration Date
- Jun 13, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2699 STIRLING ROAD
- Address 2
- SUITE B305
- City
- Ft Lauderdale
- State
- Florida
- ZIP Code
- 33312
- Phone
- (954) 963-5363
Authorized Official
- Name
- DR. DANA V WALLACE, MD
- Title
- PRESIDENT
- Phone
- (954) 963-5363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Allergy & Immunology |
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