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

MERVIN P WALLACE, MD

Active

MERVIN P WALLACE, MD is a Geriatric Medicine healthcare provider located in TALLAHASSEE, Florida. NPI 1346269883 is currently active in the NPPES registry. Verify at CMS.

Geriatric Medicine · TALLAHASSEE, FL

Registration Details

NPI Number
1346269883
Provider Type
Individual
Gender
Male
NPI Issued
Jul 18, 2006 (19.89262086387 yrs)
Last Updated
Jan 8, 2025
Licenses
ME95779 (FL)
ME95779 (FL)

Practice Information

Address
1264 METROPOLITAN BLVD
TALLAHASSEE, FL, 323122536
Browse FL providers · Browse ZIP 32312
Phone
8503833471
Primary Specialty
Geriatric Medicine
207QG0300X
Additional Specialty
Geriatric Medicine

Other Geriatric Medicine Providers in TALLAHASSEE, FL

Name Credential NPI
KENNETH V BRUMMEL-SMITH MD 1609868900
DR. ALICE KAREN POMIDOR M.D. 1457462046
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.