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Dr. Elaine Wallace, DO
Sports Medicine (Neuromusculoskeletal Medicine) Physician in Davie, Florida
NPI 1770537649

Elaine Wallace is a Sports Medicine (Neuromusculoskeletal Medicine) Physician based in Davie, FL. Elaine Wallace practices in Davie, FL and has the professional credentials of DO. The NPI Number for Elaine Wallace is 1770537649 and holds a License No. OS8356 (Florida).

The current practice location address for Elaine Wallace is 3200 S University Dr, Davie, FL and can be reached out via phone at 954-262-4316.

Location: 3200 S University Dr, Davie, FL, 33328-1948
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770537649
Provider Name
Elaine Wallace
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
3200 S University Dr, Davie, FL, 33328-1948
Phone Number
954-262-4316
Fax Number
Provider Enumeration Date
05/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3200 S University Dr
City
Davie
State
Florida
Zip
33328-2018
Phone Number
954-262-4316
Fax Number
person
Provider Business Mailing Address Details
Address
3200 S University Dr
City
Davie
State
Florida
Zip
33328-2018
Phone Number
954-262-4316
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neuromusculoskeletal Medicine, Sports Medicine
Speciality
-
Taxonomy
204C00000X
License No.
OS8356 (Florida)
Definition
Definition to come.
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