Wallace Health, LLC

NPI #1598356289 in Umatilla, Florida

Provider Information

NPI Number
1598356289
Entity Type
Organization
Organization Name
Wallace Health, LLC
Primary Specialty
Nurse Practitioner - Adult Health
Enumeration Date
Jan 27, 2021
Last Updated
Jan 27, 2021

Practice Location

Address
287 S CENTRAL AVE
State
Florida
ZIP Code
32784-8411
Phone
(352) 747-0747

Authorized Official

Name
MRS. COLLEEN WALLACE, NP-C
Title
OWNER
Phone
(352) 747-0747

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Adult HealthAdult Health

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