institution
Wallace Family Practice Pa
Clinic/Center in Lehigh Acres, Florida
NPI 1063548410

Wallace Family Practice Pa is a Clinic/Center based in Lehigh Acres, FL. Wallace Family Practice Pa practices in Lehigh Acres, FL. The NPI Number for Wallace Family Practice Pa is 1063548410 and holds a License No. OS8622 (Florida).

The current practice location address for Wallace Family Practice Pa is 3400 Lee Blvd, Lehigh Acres, FL and can be reached out via phone at 239-369-2903 and via fax at 239-369-0500.

Location: 3400 Lee Blvd, Lehigh Acres, FL, 33971-1309
institution
Provider Profile Details
NPI Number
1063548410
Provider Name
Wallace Family Practice Pa
Credential
Provider Entity Type
Organization
Address
3400 Lee Blvd, Lehigh Acres, FL, 33971-1309
Phone Number
239-369-2903
Fax Number
239-369-0500
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3400 Lee Blvd
City
State
Zip
33971-1309
Phone Number
239-369-2903
Fax Number
239-369-0500
person
Provider Business Mailing Address Details
Address
3400 Lee Blvd
City
State
Zip
33971-1309
Phone Number
239-369-2903
Fax Number
239-369-0500
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
OS8622 (Florida)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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