OrganizationActive
Dana V Wallace MD PA
NPI 1114960879 · Allergy & Immunology Physician · Ft Lauderdale, FL
Provider details
- NPI number
- 1114960879
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dana Wallace, President(954) 963-5363
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2699 Stirling Road
Suite B305
Ft Lauderdale, FL 33312
Phone: (954) 963-5363
Fax: (954) 963-7099
Approximate (ZIP-level) locationGet directions
Mailing address
2699 Stirling Road
Ft Lauderdale, FL 33312
Registry dates
- Enumerated
- 2006-06-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.