William Arthur Wallace Jr., M.D.
Plastic and Reconstructive Surgery Physician · Fleming Island, FL
Practice location
1679 Eagle Harbor PkwySuite C
Fleming Island, FL 32003-4815
- Phone
- (904) 348-0727
- Fax
- (904) 621-9272
NPI record
- NPI
- 1184842627
- Entity type
- Individual (Type 1)
- Enumeration date
- April 22, 2007
- Last updated
- November 1, 2015
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X |
ME107749 | FL |
| Plastic and Reconstructive Surgery Physician | 2086S0122X |
35.079632 | OH |
About Dr. Wallace
William Arthur Wallace Jr., M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Plastic and Reconstructive Surgery Physician (code 2086S0122X). The practice location is 1679 Eagle Harbor Pkwy, Suite C, Fleming Island, FL 32003-4815. The NPI number 1184842627 was assigned on April 22, 2007 and the record was last updated on November 1, 2015.
Dr. Wallace lists 2 licenses in the registry: #ME107749 (FL) for Plastic and Reconstructive Surgery Physician; #35.079632 (OH) for Plastic and Reconstructive Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of William Arthur Wallace Jr., M.D.?
The NPI number is 1184842627.
What is the phone number of Dr. Wallace?
The phone number listed for the practice location is (904) 348-0727.
Where is Dr. Wallace located?
1679 Eagle Harbor Pkwy, Suite C, Fleming Island, FL 32003-4815.
What is the taxonomy code for Dr. Wallace?
The primary taxonomy code is 2086S0122X – Plastic and Reconstructive Surgery Physician; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Plastic and Reconstructive Surgery Physician providers in Fleming Island
- Fleming Island Plastic Surgery LLC1715 Eagle Harbor Pkwy Ste B
- Riley Austin Schlub, M.D.1715 Eagle Harbor Pkwy Ste a
All Plastic and Reconstructive Surgery Physician providers in Fleming Island, FL →