SHAWN MICHAEL WALLACE

VALRICO, FL
NPI1326309501
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME122253)
Enumeration Date2012-06-04
Last Update Date2021-06-08
Business Address
SHAWN MICHAEL WALLACE M.D.
2211 LITHIA CENTER LN
VALRICO, FL 33596-5676
Phone number: 813-660-7100
Mailing Address
SHAWN MICHAEL WALLACE M.D.
2211 LITHIA CENTER LN
VALRICO, FL 33596-5676
Phone number: 813-660-7100