Dana V Wallace MD PA

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

DANA V WALLACE MD PA

Practice address

2699 Stirling Road
Suite B305
Ft Lauderdale, FL 33312

Phone

(954) 963-5363

Fax

(954) 963-7099

NPI assigned

Jun 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dana V Wallace, MD

Title

President

Phone

(954) 963-5363

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114960879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 STIRLING ROAD",
            "address_2": "SUITE B305",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "33312",
            "telephone_number": "954-963-5363",
            "fax_number": "954-963-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 STIRLING ROAD",
            "address_2": "SUITE B305",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "33312",
            "telephone_number": "954-963-5363",
            "fax_number": "954-963-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA V WALLACE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-963-5363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Dallal, OTR/L
• Michele A. Dallas, D.D.S.
• Harold Lawrence Dalton, DO
• Lia Ariana Damiani-Tinney, LMHC
• Rahela Damse, ARNP
• Sara Daneshpajouh, D.M.D.
• Jimmy Dang, MD
• Michael Tran Dang, DO
• Liliana Dangond Geis
• Dania Discount Drugs Inc

• Allergy & Immunology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Allergy & Immunology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.