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Dr. Danielle Charisse Wallace, MD
Pediatrics Physician in Winter Park, Florida
NPI 1114147006

Danielle Charisse Wallace is a Pediatrics Physician based in Grand Rapids, FL. Danielle Charisse Wallace practices in Winter Park, FL and has the professional credentials of MD. The NPI Number for Danielle Charisse Wallace is 1114147006 and holds a License No. MD61340360 (Florida).

The current practice location address for Danielle Charisse Wallace is 1801 Lee Rd Ste 165, Winter Park, FL and can be reached out via phone at 407-975-0410 and via fax at 407-975-0413.

Location: 1801 Lee Rd Ste 165, Winter Park, FL, 49503-2560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114147006
Provider Name
Danielle Charisse Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1801 Lee Rd Ste 165, Winter Park, FL, 49503-2560
Phone Number
407-975-0410
Fax Number
407-975-0413
Provider Enumeration Date
04/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2231891 05 WA
institution
Provider Business Practice Location Address Details
Address
1801 Lee Rd Ste 165
City
Winter Park
State
Florida
Zip
32789
Phone Number
407-975-0410
Fax Number
407-975-0413
person
Provider Business Mailing Address Details
Address
1801 Lee Rd Ste 165
City
Winter Park
State
Florida
Zip
32789
Phone Number
407-975-0410
Fax Number
407-975-0413
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
MD61340360 (Washington)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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