Individual provider · Type 1 NPI
Cynthia Catherine Wallace, P.A.
Surgical Physician Assistant · Vero Beach, FL
NPI number
1730596875
Active
Practice location
5070 Highway A1A Ste A
Vero Beach, FL 32963-1229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology Physician | 207N00000X | C0005406 (MD) |
| Medical Physician Assistant | 363AM0700X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | PA9114207 (FL) |
Surgical Physician Assistant: Definition to come...
2 other providers at this address
Other surgical physician assistant providers in Vero Beach
- Cheyanne Le'kay Caudill, CSA, CSTSurgical Physician Assistant Vero Beach, FL NPI 1164268728
- Mitchell W. Johnson, PASurgical Physician Assistant Vero Beach, FL NPI 1205809746
- Allyson Claire OrrSurgical Physician Assistant Vero Beach, FL NPI 1306676226
- Trent Smith Brister, P.A.-CSurgical Physician Assistant Vero Beach, FL NPI 1316912843
- Jeremiah J. Melton, PA-CSurgical Physician Assistant Vero Beach, FL NPI 1366524134
- Alyson Ryall, PA-CSurgical Physician Assistant Vero Beach, FL NPI 1427657055
- Martha Elizabeth Wingard, PA-CSurgical Physician Assistant Vero Beach, FL NPI 1538564299
- Alexander Dees, PA-CSurgical Physician Assistant Vero Beach, FL NPI 1598309403
About NPI 1730596875
Cynthia Catherine Wallace, P.A.'s National Provider Identifier is 1730596875, issued on Jul 21, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Vero Beach, FL. The record was last updated on Apr 19, 2023.