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

ROBERT VERNON WALLACE, M. D.

Active Sole Proprietor

ROBERT VERNON WALLACE, M. D. is a Family Medicine healthcare provider located in LEHIGH ACRES, Florida. NPI 1922113174 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LEHIGH ACRES, FL

Registration Details

NPI Number
1922113174
Provider Type
Individual
Gender
Male
NPI Issued
Aug 20, 2006 (19.800130667966 yrs)
Last Updated
Mar 7, 2023
License
ME0013849 (FL)
Sole Proprietor
Yes

Practice Information

Address
400 LEE BLVD
LEHIGH ACRES, FL, 339364923
Browse FL providers · Browse ZIP 33936
Phone
2393692903
Fax
2393690500
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in LEHIGH ACRES, FL

Name Credential NPI
DR. JOSEPH FRANCIS AVEY M.D. 1396732970
RALPH MICHAEL TUCKER MD 1497742936
MR. ABEL NATALI-LOPEZ MD 1043208002
DR. MICHAEL S VERWEST M.D. 1336121532
DR. AXEL RUIZ-TELLEZ MD 1184671034
ALPHONSUS MARIA ZOHLANDT M.D. 1962583989
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.