WALLACE THOMAS

DAYTONA BEACH, FL
NPI1831490432
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: FL  ME126338)
Additional Taxonomies207R00000X Internal Medicine
(Licence: NY  308521)
207R00000X Internal Medicine
(Licence: FL  ME126338)
208M00000X Hospitalist
(Licence: FL  ME126338)
208M00000X Hospitalist
(Licence: AL  ME126338)
Enumeration Date2010-11-12
Last Update Date2025-08-06
Business Address
Dr. WALLACE THOMAS M.D.
305 MEMORIAL MEDICAL PKWY STE 307
DAYTONA BEACH, FL 32117-5169
Phone number: 386-231-4351
Mailing Address
Dr. WALLACE THOMAS M.D.
10936 NW 41ST DR
CORAL SPRINGS, FL 33065-7762
Phone number: 561-201-3234