SearchFlorida246RP1900X

Ora Wallace

NPI 1831905579 · on the registry since 2024

Practice

Address
653 63rd Ave S
St Petersburg, FL 33705
Phone
(727) 637-5874

Registry record

Primary taxonomy
246RP1900X
246RP1900X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-07

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