Wallace Family Practice Pa

  • 1063548410 NPI Number
  • |
  • Actived: 17 years ago
  • |
Wallace Family Practice Pa is a health care provider based in Lehigh Acres, FL. The NPI Number is 1063548410 and it has been active since 17 years ago. The specialty is Clinic/Center, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Clinic/Center services, Wallace Family Practice Pa is an excellent option. We are here to help you get the care you need.

Recently Active NPIs

Overview of Wallace Family Practice Pa

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 02/27/2007
  • Last updated: 12/29/2010

Primary Scrop of Practice

  • Taxonomy Code: 261Q00000X
  • Specialty: Clinic/Center
  • License Number: OS8622
  • License State: FL

Provider Mailing Address

  • Address: 3400 Lee Blvd
    Suite 108
    Lehigh Acres, FL 33971
  • Phone: 239-369-2903
  • Fax: 239-369-0500

Provider Practice Location

  • Address: 3400 Lee Blvd
    Suite 108
    Lehigh Acres, FL 33971
  • Phone: 239-369-2903
  • Fax: 239-369-0500

Authorized Official

  • Name: Tasha B. Wallace D.O.
  • Position/Title: President
  • Telephone Number: 239-369-2903

Scope of Practice

  • Taxonomy Code: 261Q00000X
  • Specialty: Clinic/Center
  • License Number: OS8622
  • License State: FL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Wallace Family Practice Pa?
  • A: The npi number for Wallace Family Practice Pa is 1063548410.
  • Q: What are Wallace Family Practice Pa's specialties?
  • A: Wallace Family Practice Pa's specialties are Clinic/Center and different specialities.
  • Q: Where is Wallace Family Practice Pa business practice location?
  • A: Wallace Family Practice Pa business practice location is 3400 Lee Blvd, Lehigh Acres, FL 33971.
  • Q: How to contact Wallace Family Practice Pa?
  • A: You can contact Wallace Family Practice Pa via 239-369-2903.
  • Q: What is the authorized official for Wallace Family Practice Pa?
  • A: The authorized office name is Tasha B. Wallace D.O. with position/title is President and you can reach the authorized official via phone number 2393692903.