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Robert Vernon Wallace, MD
Family Medicine Physician in Lehigh Acres, Florida
NPI 1922113174

Robert Vernon Wallace is a Family Medicine Physician based in Lehigh Acres, FL. Robert Vernon Wallace practices in Lehigh Acres, FL and has the professional credentials of MD. The NPI Number for Robert Vernon Wallace is 1922113174 and holds a License No. ME0013849 (Florida).

The current practice location address for Robert Vernon Wallace is 400 Lee Blvd, Lehigh Acres, FL and can be reached out via phone at 239-369-2903 and via fax at 239-369-0500.

Location: 400 Lee Blvd, Lehigh Acres, FL, 33970-0848
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922113174
Provider Name
Robert Vernon Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
400 Lee Blvd, Lehigh Acres, FL, 33970-0848
Phone Number
239-369-2903
Fax Number
239-369-0500
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36161 01 FL BLUE CROSS BLUE SHIELD
622647 01 FL AETNA
ME0013849 01 FL PROFESSIONAL LICENSE
institution
Provider Business Practice Location Address Details
Address
400 Lee Blvd
City
Lehigh Acres
State
Florida
Zip
33936-4923
Phone Number
239-369-2903
Fax Number
239-369-0500
person
Provider Business Mailing Address Details
Address
400 Lee Blvd
City
Lehigh Acres
State
Florida
Zip
33936-4923
Phone Number
239-369-2903
Fax Number
239-369-0500
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
ME0013849 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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