Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TASHA B WALLACE, D.O.
ActiveDR. TASHA B WALLACE, D.O. is a Family Medicine healthcare provider located in FORT MYERS, Florida. NPI 1396736997 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FORT MYERS, FL
Registration Details
- NPI Number
- 1396736997
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 2, 2005 (20.777835067327 yrs)
- Last Updated
- Aug 27, 2024
- License
-
OS8622 (FL)
Practice Information
- Address
-
14651 PALM BEACH BLVD STE 100FORT MYERS, FL, 339052331Browse FL providers · Browse ZIP 33905
- Phone
- 2393692903
- Fax
- 2393690500
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in FORT MYERS, FL
| Name | Credential | NPI |
|---|---|---|
| DR. RAVI RAMASWAMI | M.D. | 1275536054 |
| SCOTT C SCOGGINS | MD | 1699771014 |
| DR. GUILLERMO B CUNA | M.D. | 1124024047 |
| MR. ROBERT H CRAWFORD | MD | 1063410579 |
| RICK WAKS | D.O. | 1194726091 |
| MANUEL GARCIA | M.D. | 1346241031 |
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.