Jordan Wallace, PHARMD - Pediatrics in Fort Myers, FL

Jordan Wallace, PHARMD is a Pediatrics - Pediatric Hematology-oncology physician based in Fort Myers, Florida. Jordan Wallace is licensed to practice in Florida (license number 9725) and her current practice location is 9981 S Healthpark Dr, Fort Myers, Florida. She can be reached at her office (for appointments etc.) via phone at (239) 343-9163.

NPI number for Jordan Wallace is 1790538015 and her current mailing address is 9981 S Healthpark Dr, Fort Myers, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790538015.

Contact Information

Jordan Wallace, PHARMD
9981 S Healthpark Dr,
Fort Myers, FL 33908-3618
(239) 343-9163
(239) 343-5321

Map and Direction




Physician's Profile

Full NameJordan Wallace
GenderFemale
SpecialityPediatrics - Pediatric Hematology-oncology
Location9981 S Healthpark Dr, Fort Myers, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790538015
  • Provider Enumeration Date: 04/08/2024
  • Last Update Date: 04/08/2024

Medical Identifiers

Medical identifiers for Jordan Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790538015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0207XPediatrics - Pediatric Hematology-oncology 9725 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jordan Wallace, PHARMD
9981 S Healthpark Dr,
Fort Myers, FL 33908-3618

Ph: (239) 343-9163
Jordan Wallace, PHARMD
9981 S Healthpark Dr,
Fort Myers, FL 33908-3618

Ph: (239) 343-9163

Reviews and Comments


Pediatrics Doctors in Fort Myers, FL

Price S Ward, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908
Phone: 239-343-5000    
Melanie Aliza Coombs-bynum, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9350 Camelot Dr, Fort Myers, FL 33919
Phone: 239-481-5437    Fax: 239-481-0570
Dr. Emad S Mansour, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908
Phone: 239-343-5651    Fax: 239-343-5652
Cayce Jehaimi, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 15901 Bass Rd Ste 102, Fort Myers, FL 33908
Phone: 239-343-9890    Fax: 239-343-9898
Dr. Dana Debord Crater, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9350 Camelot Dr, Fort Myers, FL 33919
Phone: 239-481-5437    Fax: 239-481-0570
Dr. Robert Edward Rayder,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4048 Evans Ave Ste 209, Fort Myers, FL 33901
Phone: 239-278-9983    Fax: 239-278-9985
Dr. Hetty Zoe Snyderman, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 21 Carrotwood Ct, Fort Myers, FL 33919
Phone: 239-898-8988    

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