STEVEN GREGORY WALLACE

PLANT CITY, FL
NPI1851713952
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PAT9107761)
Enumeration Date2014-01-09
Last Update Date2014-01-09
Business Address
Mr. STEVEN GREGORY WALLACE PA
511 W ALEXANDER ST
PLANT CITY, FL 33563-7116
Phone number: 813-659-9800
Mailing Address
Mr. STEVEN GREGORY WALLACE PA
5026 FAIRFAX DR
LAKELAND, FL 33813-2917
Phone number:
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