SearchFlorida106H00000X

Myisha Wallace

NPI 1659062891 · on the registry since 2023

Practice

Address
13190 Royal Pines Ave
Riverview, FL 33579
Phone
(813) 520-0156

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-06

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