Search › Florida › 207Q00000X
Robert Wallace, M. D
NPI 1922113174 · on the registry since 2006 · sole proprietor
Practice
- Address
- 400 Lee Blvd
Lehigh Acres, FL 33936 - Phone
- (239) 369-2903
- Fax
- (239) 369-0500
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-07
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