Individual provider · Type 1 NPI

Max Joseph Wallack

Diagnostic Radiology Physician · Jacksonville, FL

NPI number 1043839814 Active

Practice location

655 W 8th St
Jacksonville, FL 32209-6511

Call (774) 270-0554 Map

Mailing address

3580 Pall Mall Dr Apt 2604
Jacksonville, FL 32257-5486

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XME176656 (FL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1043839814

Max Joseph Wallack's National Provider Identifier is 1043839814, issued on Apr 13, 2020. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 30, 2025.