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Search › Florida › Plastic and Reconstructive Surgery Physician

William Wallace, M.D

NPI 1184842627 · on the registry since 2007

Practice

Address
1679 Eagle Harbor Pkwy
Suite C
Fleming Island, FL 32003
Phone
(904) 348-0727
Fax
(904) 621-9272
Organisation at this address
My Side Medicine Llc
Fleming Island Plastic Surgery Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Plastic and Reconstructive Surgery Physician
2086S0122X
Also registered as
Plastic and Reconstructive Surgery Physician
Licence states on file
FL, OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-11-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida