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1760457626
JEFFREY P. WALLACE
SUNRISE, FL
NPI
1760457626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: FL ME49186)
Enumeration Date
2006-02-22
Last Update Date
2007-07-08
Business Address
-- JEFFREY P. WALLACE MD
1613 HARRISON PKWY #200
SUNRISE, FL 33323-2853
Phone number: 954-838-2371
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Mailing Address
-- JEFFREY P. WALLACE MD
PO BOX 848508
PEMBROKE PINES, FL 33084-0508
Phone number:
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