location
search-icon
person
Colleen Wallace
Adult Medicine Physician in Umatilla, Florida
NPI 1992394423

Colleen Wallace is an Adult Medicine Physician based in Umatilla, FL and is specialized in Adult Medicine. Colleen Wallace practices in Umatilla, FL. The NPI Number for Colleen Wallace is 1992394423 and holds a License No. 11011114 (Florida).

The current practice location address for Colleen Wallace is 287 S Central Ave, Umatilla, FL and can be reached out via phone at 352-747-0747.

Location: 287 S Central Ave, Umatilla, FL, 32784-2485
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992394423
Provider Name
Colleen Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
287 S Central Ave, Umatilla, FL, 32784-2485
Phone Number
352-747-0747
Fax Number
Provider Enumeration Date
01/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
287 S Central Ave
City
Umatilla
State
Florida
Zip
32784-8411
Phone Number
352-747-0747
Fax Number
person
Provider Business Mailing Address Details
Address
287 S Central Ave
City
Umatilla
State
Florida
Zip
32784-8411
Phone Number
352-747-0747
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
11011114 (Florida)
Definition
Definition to come.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.