Individual provider · Type 1 NPI

Steven Gregory Wallace Jr., PA

Physician Assistant · Plant City, FL

NPI number 1851713952 Active

Practice location

511 W Alexander St
Plant City, FL 33563-7116

Mailing address

5026 Fairfax Dr
Lakeland, FL 33813-2917

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPAT9107761 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1851713952

Steven Gregory Wallace Jr., PA's National Provider Identifier is 1851713952, issued on Jan 9, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Plant City, FL. The record was last updated on Jan 9, 2014.