Colleen Wallace
NPI 1992394423 · Adult Medicine Physician · Umatilla, FL
Colleen Wallace is a Adult Medicine Physician provider in Umatilla, FL (NPI 1992394423).
Provider details
- NPI number
- 1992394423
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11011114 (FL)
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-01-11
- Last updated
- 2021-01-21
- Certified
- 2021-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.