DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. WALLACE TRANUM JR.

Active Sole Proprietor

MR. WALLACE TRANUM JR. is a Driver healthcare provider located in DELTONA, Florida. NPI 1265075865 is currently active in the NPPES registry. Verify at CMS.

Driver · DELTONA, FL

Registration Details

NPI Number
1265075865
Provider Type
Individual
Gender
Male
NPI Issued
Oct 26, 2019 (6.7728047202771 yrs)
Last Updated
Oct 26, 2019
License
T655898694600 (FL)
Sole Proprietor
Yes

Practice Information

Address
415 GOLDEN ARM RD
DELTONA, FL, 327388653
Browse FL providers · Browse ZIP 32738
Phone
4074607242
Primary Specialty
Driver
172A00000X

Other Driver Providers in DELTONA, FL

Name Credential NPI
YVETTE AVILA 1235607946
REGINALD PERNELL 1922655885
PROF. CANUTE LIVINGSTONE MCKAIN JR. 1043923428
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.