Dr. Douglas Mckay Wallace
Neurologist
1201 Nw 16th St Miami Va Medical Center, Dept Of Neurology
Miami
, Florida 33125-1624
Dr. Douglas Mckay Wallace
Neurologist
1201 Nw 16th St Miami Va Medical Center, Dept Of Neurology
Miami
, Florida 33125-1624
(305) 387-4632
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Dr. Douglas Mckay Wallace
- 11104 Sw 139th Ct
- Miami, FL
- Zip : 33186-3251
- Fax : (305) 387-4632
- Phone : (305) 387-7346
Second Address
- Dr. Douglas Mckay Wallace
- 1201 Nw 16th St Miami Va Medical Center, Dept Of Neurology
- Miami, FL
- Zip : 33125-1624
- Phone : (305) 575-7000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | ME94643 | FL |
National Provider Identifier
| NPI | 1013058932 |
|---|---|
| Provider Name | Dr. Douglas Mckay Wallace |
| First Address | Miami, FL 33186-3251 |
| Second Address | Miami, FL 33125-1624 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/02/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.