Wallace, Cynthia Catherine

Wallace, Cynthia Catherine is an individual health care provider with primary practice located at 5070 Highway A1A Ste A , Vero Beach FL 32963-1229. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Wallace, Cynthia Catherine can be contacted via phone (954) 531-9433.

Contact Information

Primary practice address
5070 Highway A1A Ste A Vero Beach FL 32963-1229
Phone: (954) 531-9433
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X C0005406 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9114207 Florida

Profile Details

NPI number 1730596875
LBN Legal business name Wallace, Cynthia Catherine
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2014
Last updated Apr 19th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers