Individual provider · Type 1 NPI

Danielle Charisse Wallace, MD

Pediatrics Physician · Winter Park, FL

NPI number 1114147006 Active

Practice location

1801 Lee Rd Ste 165
Winter Park, FL 32789

Call (407) 975-0410 Map

Fax (407) 975-0413

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Other practice locations

  • 1627 S 3050 W, Vernal, UT 84078-8719 · (616) 717-3171
  • 4845 Alameda Ave, El Paso, TX 79905-2705 · (915) 215-5700

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XMD61340360 (WA)
Pediatrics Physician Primary 208000000XME129213 (FL)
Pediatrics Physician 208000000X8023169-1205 (UT)
Pediatrics Physician 208000000X4301088447 (MI)
Pediatrics Physician 208000000XU0741 (TX)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

11 other providers at this address

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About NPI 1114147006

Danielle Charisse Wallace, MD's National Provider Identifier is 1114147006, issued on Apr 26, 2007. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Winter Park, FL. The record was last updated on Jun 13, 2023.