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Audrey Wallace, MD
Radiation Oncology Physician in Bay Pines, Florida
NPI 1396185666

Audrey Wallace is a Radiation Oncology Physician based in Birmingham, FL and is specialized in Radiation Oncology. Audrey Wallace practices in Bay Pines, FL and has the professional credentials of MD. The NPI Number for Audrey Wallace is 1396185666 and holds a License No. (Florida).

The current practice location address for Audrey Wallace is 10000 Bay Pines Blvd, Bay Pines, FL and can be reached out via phone at 727-398-9545.

Location: 10000 Bay Pines Blvd, Bay Pines, FL, 35233-1900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396185666
Provider Name
Audrey Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
10000 Bay Pines Blvd, Bay Pines, FL, 35233-1900
Phone Number
727-398-9545
Fax Number
Provider Enumeration Date
07/01/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10000 Bay Pines Blvd
City
Bay Pines
State
Florida
Zip
33744-8200
Phone Number
727-398-9545
Fax Number
person
Provider Business Mailing Address Details
Address
10000 Bay Pines Blvd
City
Bay Pines
State
Florida
Zip
33744-8200
Phone Number
727-398-9545
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
33689 (Alabama)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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