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

LYDIA V. WALLACE, D.O., P.A.

Active Organization

LYDIA V. WALLACE, D.O., P.A. is a Community Health Center organization located in HOLLYWOOD, Florida. NPI 1861766941 is currently active in the NPPES registry. Verify at CMS.

Community Health Center · HOLLYWOOD, FL

Registration Details

NPI Number
1861766941
Provider Type
Organization
NPI Issued
Mar 7, 2012 (14.47405559766 yrs)
Last Updated
Mar 7, 2012
License
OS 10688 (FL)

Practice Information

Address
3021 N 66TH AVE
HOLLYWOOD, FL, 330242925
Browse FL providers · Browse ZIP 33024
Phone
7542818202
Primary Specialty
Community Health Center
261QC1500X

Other Community Health Center Organizations in HOLLYWOOD, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.