Wallace, Jeffrey P.

Wallace, Jeffrey P. is an individual health care provider with primary practice located at 1613 Harrison Pkwy #200, Sunrise FL 33323-2853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wallace, Jeffrey P. can be contacted via phone (954) 838-2371.

Contact Information

Primary practice address
1613 Harrison Pkwy #200 Sunrise FL 33323-2853
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME49186 Florida

Profile Details

NPI number 1760457626
LBN Legal business name Wallace, Jeffrey P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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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