Lydia V. Wallace, D.O., P.A.
NPI 1861766941 · Community Health Clinic/Center · Hollywood, FL
Lydia V. Wallace, D.O., P.A. is a Community Health Clinic/Center organization in Hollywood, FL (NPI 1861766941).
Provider details
- NPI number
- 1861766941
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lydia Wallace, Owner(954) 721-8202
- License
- OS 10688 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-03-07
- Last updated
- 2012-03-07
Frequently asked questions
- What is Lydia V. Wallace, D.O., P.A.'s NPI number?
- Lydia V. Wallace, D.O., P.A.'s National Provider Identifier (NPI) is 1861766941, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lydia V. Wallace, D.O., P.A.?
- Lydia V. Wallace, D.O., P.A. is classified in the NPPES registry as Community Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lydia V. Wallace, D.O., P.A. located?
- Lydia V. Wallace, D.O., P.A.'s practice location on file with NPPES is 3021 N 66th Ave, Hollywood, FL 33024-2925.
- What is Lydia V. Wallace, D.O., P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Lydia V. Wallace, D.O., P.A. is (754) 281-8202.
- Who is the authorized official for Lydia V. Wallace, D.O., P.A.?
- The authorized official listed on Lydia V. Wallace, D.O., P.A.'s NPPES record is Lydia Wallace, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lydia V. Wallace, D.O., P.A.'s NPI active?
- Yes — Lydia V. Wallace, D.O., P.A.'s NPI (1861766941) is active in the NPPES registry as of the last update on 2012-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.