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Search › Florida › 363LA2200X

Tashoy Wallace, APRN

NPI 1891301164 · on the registry since 2020 · sole proprietor

Practice

Address
89 W Copeland Dr Fl 2
Orlando, FL 32806
Phone
(321) 841-7550
Fax
(321) 841-8185
Organisation at this address
Orlando Health Inc
Orlando Health Inc
Orlando Health Medical Group Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
84

Additional practice sites

  • 121 Odyssey Turn, Conyers, GA

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Also registered as
363LA2100X
Licence states on file
GA, FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-25

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