Individual provider · Type 1 NPI

Tasha B. Wallace, DO

Family Medicine Physician · Fort Myers, FL

NPI number 1396736997 Active

Practice location

14651 Palm Beach Blvd Ste 100
Fort Myers, FL 33905-2331

Call (239) 369-2903 Map

Fax (239) 369-0500

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XOS8622 (FL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

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About NPI 1396736997

Tasha B. Wallace, DO's National Provider Identifier is 1396736997, issued on Nov 2, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Fort Myers, FL. The record was last updated on Aug 27, 2024.