| Robert Vernon Wallace, M D | |
|
400 Lee Blvd, Lehigh Acres, FL 33936-4923 | |
| (239) 369-2903 | |
| (239) 369-0500 |
| Full Name | Robert Vernon Wallace |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 400 Lee Blvd, Lehigh Acres, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922113174 | NPI | - | NPPES |
| 36161 | Other | FL | BLUE CROSS BLUE SHIELD |
| 622647 | Other | FL | AETNA |
| ME0013849 | Other | FL | PROFESSIONAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0013849 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Vernon Wallace, M D Po Box 848, Lehigh Acres, FL 33970-0848 Ph: (239) 369-2903 | Robert Vernon Wallace, M D 400 Lee Blvd, Lehigh Acres, FL 33936-4923 Ph: (239) 369-2903 |
Mr. Abel Natali-lopez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3415 Lee Blvd, Lehigh Acres, FL 33971 Phone: 239-738-7324 Fax: 239-369-6419 | |
Dr. Axel Ruiz-tellez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2724 5th St W Ste C, Lehigh Acres, FL 33971 Phone: 239-303-9296 Fax: 239-303-9296 | |
Sheeja A Kanacheril, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1530 Lee Blvd, Suite 1100, Lehigh Acres, FL 33936 Phone: 239-368-0241 Fax: 239-368-0398 | |
Dr. Parvin Zafarani, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3415 Lee Blvd, Lehigh Acres, FL 33971 Phone: 239-344-2305 Fax: 239-368-2044 | |
Dr. Michael S Verwest, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5700 Lee Blvd, Lehigh Acres, FL 33971 Phone: 239-482-1010 Fax: 239-481-1481 | |
Colette Susan Haywood, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3415 Lee Blvd, Lehigh Acres, FL 33971 Phone: 239-344-2305 Fax: 239-368-2044 | |
Dr. Joseph Francis Avey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 260 Beth Stacey Blvd Unit 130, Lehigh Acres, FL 33936 Phone: 239-368-2839 Fax: 239-368-5011 |