Search › Florida › 363LF0000X
Joseph Wallace
NPI 1891275095 · on the registry since 2018
Practice
- Address
- 23361 Ferndale Ave
Punta Gorda, FL 33980 - Phone
- (239) 281-8121
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-16
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