Danielle Charisse Wallace, M.D. Valid NPI

Individual provider · Pediatrics Physician · Winter Park, FL

NPI

1114147006

Type

Individual (Type 1)

Primary specialty

Pediatrics Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208000000X

License number

ME129213 (FL)

Sex

Female

Sole proprietor

No

Enumerated

2007-04-26

Last updated

2023-06-13