Individual provider · Type 1 NPI

Ja'mese B. Wallace, DPM

Student in an Organized Health Care Education/Training Program · Miami, FL

NPI number 1790673549 Active

Practice location

3659 S Miami Ave Ste 3008
Miami, FL 33133-4225

Call (305) 859-7777 Map

Mailing address

4042 NW 10th Pl
Plantation, FL 33313-6709

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XPR909 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790673549

Ja'mese B. Wallace, DPM's National Provider Identifier is 1790673549, issued on Jun 27, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Miami, FL. The record was last updated on Jun 27, 2025.