JEFFREY P. WALLACE

SUNRISE, FL
NPI1760457626
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: FL  ME49186)
Enumeration Date2006-02-22
Last Update Date2007-07-08
Business Address
-- JEFFREY P. WALLACE MD
1613 HARRISON PKWY #200
SUNRISE, FL 33323-2853
Phone number: 954-838-2371
Mailing Address
-- JEFFREY P. WALLACE MD
PO BOX 848508
PEMBROKE PINES, FL 33084-0508
Phone number: