Michael T Wallace - NPI #1194029777

Adult Health Nurse Practitioner located in Bushnell, FL

Florida Bushnell Adult Health (Nurse Practicioner) Michael T Wallace Information


Michael T Wallace is a male Adult Health Nurse Practitioner (taxonomy code 363LA2200X) located in Bushnell, Florida. Michael T Wallace's NPI Number is #1194029777 and has been listed in the NPI registry for 6 years. Michael T Wallace's practice location is listed as: 4269 W C 48 Bushnell, FL 33513-8381 and can be reached via phone at (352) 568-1076.

Adult Health (Nurse Practicioner) Taxonomy

The taxonomy code for Michael T Wallace's main specialty, Adult Health (Nurse Practicioner), is 363LA2200X. Adult health care practicioners provide primary, specialty and hospital care for adult aged patients.



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Health Care Provider Information
 NPI # 1194029777
 Phone (352) 568-1076
 Fax Not Available
4269 W C 48
Bushnell, FL 33513-8381
 Gender M
 Website Not provided
  • Adult Health (Nurse Practicioner) (FL)
Business Information
  • Sole Proprietor? No
  • Is Sub-Organization? Not Available
  • Parent Org Name: Not Available
 Updated 4/23/2012
 Added 12/22/2010
 Viewed on 10/22/2016
Health Care Providers Nearby

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