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

DR. WILSON KING WALLACE, MD

Active

DR. WILSON KING WALLACE, MD is a Ophthalmology healthcare provider located in VERO BEACH, Florida. NPI 1598754053 is currently active in the NPPES registry. Verify at CMS.

Ophthalmology · VERO BEACH, FL

Registration Details

NPI Number
1598754053
Provider Type
Individual
Gender
Male
NPI Issued
Oct 18, 2005 (20.784630631269 yrs)
Last Updated
Apr 14, 2010
License
ME18644 (FL)

Practice Information

Address
2750 INDIAN RIVER BLVD
VERO BEACH, FL, 329605225
Browse FL providers · Browse ZIP 32960
Phone
7725699500
Fax
7725699507
Primary Specialty
Ophthalmology
207W00000X

Other Ophthalmology Providers in VERO BEACH, FL

Name Credential NPI
DR. ADAM M KATZ M.D. 1790772101
WILLIAM J. MALLON M.D. 1114976479
DR. JOHN MICHAEL SCHNELL M.D. 1952355588
DR. PAUL VICTOR MINOTTY M.D. 1124073598
DR. EDWARD S BRANIGAN III 1235186677
DR. ROGER JOHN MEYER M.D. 1215976519
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.