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Tasha Wallace, D.O
NPI 1396736997 · on the registry since 2005
Practice
- Address
- 14651 Palm Beach Blvd Ste 100
Fort Myers, FL 33905 - Phone
- (239) 369-2903
- Fax
- (239) 369-0500
- Organisation at this address
- Markus Sherry Dmd Pa
Eugene Usberghi, Jr., D.O.
21st Century Oncology Illc
K & M Drugs Fort Myers Llc
Caloosa Medical Center, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-27
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