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Search › Florida › 183700000X

Dustin Wallace, CPHT

NPI 1326639006 · on the registry since 2021

Practice

Address
2 Shircliff Way Ste 900
Jacksonville, FL 32204
Phone
(904) 389-9744
Organisation at this address
Pharmacy4humanity
Kim Orthopedic Llc
Benjamin E Moore Md Pa
Cancer Specialists Llc
Cancer Specialists Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
97

Registry record

Primary taxonomy
183700000X
183700000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-01-27

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