Wallace, Eveline S.

Wallace, Eveline S. is an individual health care provider with primary practice located at 2415 N Orange Ave Suite # 700, Orlando FL 32804-5505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Wallace, Eveline S. can be contacted via phone (407) 303-7171.

Contact Information

Primary practice address
2415 N Orange Ave Suite # 700 Orlando FL 32804-5505
Phone: (407) 303-7171
Fax: (407) 303-7195
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 1728202 Florida

Profile Details

NPI number 1427058932
LBN Legal business name Wallace, Eveline S.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Nov 11th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427058932 NPPES
Florida Other P00360116 RAILROAD MEDICARE

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