Robert Vernon Wallace M. D.

  • NPI 1922113174
According to our database, the NPI number for Robert Vernon Wallace M. D. is 1922113174 and activated since 17 years ago. Robert Vernon Wallace M. D. is an individual provider who specializes in Family Medicine, and the primary practice location is 400 Lee Blvd, Lehigh Acres, FL 33936. You can also contact Robert Vernon Wallace M. D. via telephone number is (239) 369-2903. Provider NPI information was last updated on 07/09/2007.

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Overview of Robert Vernon Wallace M. D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/20/2006
  • Last updated: 07/09/2007

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: ME0013849
  • License State: FL

Provider Mailing Address

  • Address: Po Box 848
    Lehigh Acres, FL 33970
  • Phone: 239-369-2903
  • Fax: 239-369-0500

Provider Practice Location

  • Address: 400 Lee Blvd
    Lehigh Acres, FL 33936
  • Phone: 239-369-2903
  • Fax: 239-369-0500

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: ME0013849
  • License State: FL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 36161
  • Identifier Type: Other
  • Identifier State: FL
  • Issuer: BLUE CROSS BLUE SHIELD

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Robert Vernon Wallace M. D.?
  • A: The npi number for Robert Vernon Wallace M. D. is 1922113174.
  • Q: What are Robert Vernon Wallace M. D.'s specialties?
  • A: Robert Vernon Wallace M. D.'s specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Robert Vernon Wallace M. D.?
  • A: The medical license number for Robert Vernon Wallace M. D. is ME0013849 and issued in FL in USA.
  • Q: Where is Robert Vernon Wallace M. D. practice location?
  • A: Robert Vernon Wallace M. D. is practicing at 400 Lee Blvd, Lehigh Acres, FL 33936.
  • Q: How to contact Robert Vernon Wallace M. D.?
  • A: You can contact Robert Vernon Wallace M. D. via 239-369-2903.
Medicare Specialty
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Clinical Pharmacology
Family Medicine
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Family Health
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Sports Medicine
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