John Brent Wallis in Miami - Internal Medicine
John Brent Wallis - NPI 1023004207
John Brent Wallis is a Internal Medicine in Miami, Florida. John Brent Wallis practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for John Brent Wallis is 1023004207. The last update date is 2012-12-21.
John Brent Wallis's current location address is 1000 Park Centre Blvd, Miami, Florida. You can contact this provider via phone number 5044549020 and fax number 5044549031. The mailing address for John Brent Wallis is 1000 Park Centre Blvd, Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Brent Wallis |
|---|---|
| Address | 1000 Park Centre Blvd, Miami, Florida |
| Phone Number | 5044549020 |
| Fax Number | 5044549031 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1023004207 |
|---|---|
| Provider Enumeration Date | 2005-09-23 |
| Last Updated Date | 2012-12-21 |
Provider Mailing Address Detail
| Address | 1000 Park Centre Blvd |
|---|---|
| City | Miami |
| State | Florida (FL) |
| Post Code | 331695373 |
| Phone Number | 5044549020 |
| Fax Number | 5044549031 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 25100 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1422355 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John Brent Wallis by the Centers for Medicare & Medicaid Services?
The John Brent Wallis has been issued the NPI (National Provider Identifier) 1023004207 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where John Brent Wallis is physically located?
The John Brent Wallis is situated at the following address: 1000 Park Centre Blvd, Miami, FL 331695373.
What is the area of specialization for John Brent Wallis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John Brent Wallis is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date was the 1023004207 assigned to John Brent Wallis?
The John Brent Wallis was issued its 1023004207 on 2005-09-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to John Brent Wallis last refreshed?
The information related to the John Brent Wallis, including its address, specialty, and other relevant details, was last updated on 2012-12-21.
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