Wallace, Dana V
Wallace, Dana V is an sole proprietor health care provider with primary practice located at 2699 Stirling Rd Ste B305 , Ft Lauderdale FL 33312-6546. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Wallace, Dana V can be contacted via phone (954) 981-9180.Contact Information
Primary practice address
2699 Stirling Rd Ste B305
Ft Lauderdale FL 33312-6546
Phone: (954) 981-9180
Fax: (954) 961-4752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | ME0025502 | Florida |
Profile Details
| NPI number | 1437192531 |
|---|---|
| LBN Legal business name | Wallace, Dana V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437192531 | NPPES |
| Florida | MEDICAID | 006256200 | |
| Florida | Other | 93292X |
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