Dr Dana V Wallace, MD | |
2699 Stirling Rd Ste B305, Ft Lauderdale, FL 33312-6546 | |
(954) 981-9180 | |
(954) 961-4752 |
Full Name | Dr Dana V Wallace |
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Gender | Female |
Speciality | Allergy & Immunology |
Location | 2699 Stirling Rd Ste B305, Ft Lauderdale, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437192531 | NPI | - | NPPES |
006256200 | Medicaid | FL | |
93292X | Other | FL | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | ME0025502 (Florida) | Primary |
Entity Name | Allergy & Asthma Associates Of South Florida Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093779696 PECOS PAC ID: 2365340908 Enrollment ID: O20031222000151 |
Mailing Address | Practice Location Address |
---|---|
Dr Dana V Wallace, MD 11880 Sw 40th St, Suite 304, Miami, FL 33175-3584 Ph: (305) 223-8808 | Dr Dana V Wallace, MD 2699 Stirling Rd Ste B305, Ft Lauderdale, FL 33312-6546 Ph: (954) 981-9180 |
Ms. Yael Eva Kushner, PA-C Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2699 Stirling Rd Ste B305, Ft Lauderdale, FL 33312 Phone: 954-981-9180 Fax: 954-961-4752 | |
Dr. Hugo Mcfarlane, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 912 Se 6th St, Ft Lauderdale, FL 33301 Phone: 954-242-9859 | |
Sarah Garon, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2699 Stirling Rd Ste B305, Ft Lauderdale, FL 33312 Phone: 954-981-9180 Fax: 954-961-4752 |