PEGGY LYNN WALLACE

TAMPA, FL
NPI1285930123
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: FL  9274861)
Enumeration Date2011-02-09
Last Update Date2011-05-20
Business Address
-- PEGGY LYNN WALLACE ARNP
4600 N HABANA AVE SUITE 15
TAMPA, FL 33614-7112
Phone number: 813-870-4460
Mailing Address
-- PEGGY LYNN WALLACE ARNP
110 W NORTH ST
TAMPA, FL 33604-6015
Phone number: 813-857-2679
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