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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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Lehigh Acres
State
Florida
Zip
33971-1309
Phone Number
239-369-2903
Fax Number
239-369-0500
person
Provider Business Mailing Address Details
Address
3400 Lee Blvd
City
Lehigh Acres
State
Florida
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
261Q00000X
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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