Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATOYA M. WALLACE, PA
ActiveLATOYA M. WALLACE, PA is a Physician Assistant healthcare provider located in PENSACOLA, Florida. NPI 1073764114 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PENSACOLA, FL
Registration Details
- NPI Number
- 1073764114
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 7, 2008 (17.852367537626 yrs)
- Last Updated
- Apr 15, 2020
- Licenses
-
4254 (AZ)PA9109974 (FL)PA9109974 (FL)
Practice Information
- Address
-
1010 N 12TH AVE STE 125PENSACOLA, FL, 325013315Browse FL providers · Browse ZIP 32501
- Phone
- 8503618598
- Fax
- 8502034629
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in PENSACOLA, FL
| Name | Credential | NPI |
|---|---|---|
| MICHAEL BERTAGNOLLI | PA-C | 1427051010 |
| DOUGLAS SCOTT BAKER | PAC | 1194725457 |
| RICHARD O CLARK | PAC | 1932109105 |
| REBECCA COWER | PAC | 1386644607 |
| WILLIAM ANDREW WATSON | PAC | 1033119227 |
| MR. JAMES PATRICK ADAIR II | PA-C | 1265425243 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.