MAX JOSEPH WALLACK

JACKSONVILLE, FL
NPI1043839814
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: FL  ME176656)
Enumeration Date2020-04-13
Last Update Date2025-10-30
Business Address
MAX JOSEPH WALLACK
655 W 8TH ST
JACKSONVILLE, FL 32209-6511
Phone number: 774-270-0554
Mailing Address
MAX JOSEPH WALLACK
3580 PALL MALL DR APT 2604
JACKSONVILLE, FL 32257-5486
Phone number: 774-270-0554
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