Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELAINE WALLACE, D.O.
ActiveDR. ELAINE WALLACE, D.O. is a Neuromusculoskeletal Medicine & OMM healthcare provider located in DAVIE, Florida. NPI 1770537649 is currently active in the NPPES registry. Verify at CMS.
Neuromusculoskeletal Medicine & OMM · DAVIE, FL
Registration Details
- NPI Number
- 1770537649
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 22, 2006 (20.265047261271 yrs)
- Last Updated
- Sep 25, 2013
- License
-
OS8356 (FL)
Practice Information
- Address
-
3200 S UNIVERSITY DR#4316DAVIE, FL, 333282018Browse FL providers · Browse ZIP 33328
- Phone
- 9542624316
- Primary Specialty
-
Neuromusculoskeletal Medicine & OMM
204C00000X
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.