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Jennifer Wallace, PAC
NPI 1700864493 · on the registry since 2006
Practice
- Address
- 625 6th Ave S
Suite 385
Saint Petersburg, FL 33701 - Phone
- (727) 553-7100
- Fax
- (727) 553-7198
- Organisation at this address
- Metropolitan Charities Inc
Advanced Ents Of Tampa Bay Llc
Greater Florida Anesthesiologists Llc
Genesis Surgery Center Of Florida, Llc
Pediatrix Medical Group Of Florida IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Also registered as
- Surgical Physician Assistant
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-10-08
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