ROBERT VERNON WALLACE

LEHIGH ACRES, FL
NPI1922113174
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME0013849)
Enumeration Date2006-08-20
Last Update Date2023-03-07
Business Address
-- ROBERT VERNON WALLACE M. D.
400 LEE BLVD
LEHIGH ACRES, FL 33936-4923
Phone number: 239-369-2903
Mailing Address
-- ROBERT VERNON WALLACE M. D.
PO BOX 848
LEHIGH ACRES, FL 33970-0848
Phone number: 239-369-2903