Dr William Arthur Wallace Jr, MD | |
1679 Eagle Harbor Pkwy, Suite C, Fleming Island, FL 32003-4815 | |
(904) 348-0727 | |
(904) 621-9272 |
Full Name | Dr William Arthur Wallace Jr |
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Gender | Male |
Speciality | Surgery - Plastic And Reconstructive Surgery |
Location | 1679 Eagle Harbor Pkwy, Fleming Island, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1184842627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | ME107749 (Florida) | Primary |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 35.079632 (Ohio) | Secondary |
Entity Name | Fleming Island Plastic Surgery, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245602069 PECOS PAC ID: 0648573642 Enrollment ID: O20160126000977 |
Mailing Address | Practice Location Address |
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Dr William Arthur Wallace Jr, MD 1679 Eagle Harbor Pkwy, Suite C, Fleming Island, FL 32003-4815 Ph: (904) 348-0727 | Dr William Arthur Wallace Jr, MD 1679 Eagle Harbor Pkwy, Suite C, Fleming Island, FL 32003-4815 Ph: (904) 348-0727 |
Dr. Julia Anne Heizmann, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4711 Us Highway 17 Ste B1, Fleming Island, FL 32003 Phone: 904-244-3903 | |
Dr. Richard D Curtis, MD. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1715 Eagle Harbor Parkway, Suite A, Fleming Island, FL 32003 Phone: 904-215-2422 Fax: 904-215-6122 | |
Riley Austin Schlub, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1715 Eagle Harbor Pkwy Ste A, Fleming Island, FL 32003 Phone: 904-215-2422 |