Lydia Valladares Wallace in Inverness - Family Medicine
Lydia Valladares Wallace - NPI 1215139381
Lydia Valladares Wallace is a Family Medicine in Inverness, Florida. Lydia Valladares Wallace practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Lydia Valladares Wallace is 1215139381. The last update date is 2017-01-11.
Lydia Valladares Wallace's current location address is 131 S Citrus Ave, Inverness, Florida. You can contact this provider via phone number 3523446930 and fax number 3523444955. The mailing address for Lydia Valladares Wallace is 131 S Citrus Ave, Inverness, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lydia Valladares Wallace |
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Address | 131 S Citrus Ave, Inverness, Florida |
Phone Number | 3523446930 |
Fax Number | 3523444955 |
Sole Proprietor | N |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1215139381 |
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Provider Enumeration Date | 2007-06-01 |
Last Updated Date | 2017-01-11 |
Provider Mailing Address Detail
Address | 131 S Citrus Ave |
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City | Inverness |
State | Florida (FL) |
Post Code | 344524701 |
Phone Number | 3523446930 |
Fax Number | 3523444955 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | OS 10688 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1933100 | FL | -- | |
6676100 | FL | -- |
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What is the unique 10-digit identification code issued to Lydia Valladares Wallace by the Centers for Medicare & Medicaid Services?
The Lydia Valladares Wallace has been assigned the NPI (National Provider Identifier) 1215139381 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Lydia Valladares Wallace's facilities are situated?
The facilities of Lydia Valladares Wallace are physically located at the following address: 131 S Citrus Ave, Inverness, FL, 344524701.
What is the Lydia Valladares Wallace's specialty and taxonomy code?
The Lydia Valladares Wallace's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Lydia Valladares Wallace receive its 1215139381 assignment from the Centers for Medicare & Medicaid Services?
The Lydia Valladares Wallace was assigned its 1215139381 by the Centers for Medicare & Medicaid Services on 2007-06-01.
As of what date were the Lydia Valladares Wallace's details last updated?
The information pertaining to the Lydia Valladares Wallace, including its address, specialty, and other details, was most recently updated on 2017-01-11.