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Dr. William Arthur Wallace JR.

Plastic and Reconstructive Surgery

1679 Eagle Harbor Pkwy Suite C
Fleming Island , Florida 32003-4815

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(904) 621-9272

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Dr. William Arthur Wallace JR.

Plastic and Reconstructive Surgery

1679 Eagle Harbor Pkwy Suite C
Fleming Island , Florida 32003-4815

(904) 621-9272

Write a Review Save Call

Dr. William Arthur Wallace JR.

Plastic and Reconstructive Surgery

1679 Eagle Harbor Pkwy Suite C
Fleming Island , Florida 32003-4815

(904) 621-9272 Call

Write a Review Save
About
Location
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Dr. William Arthur Wallace JR.
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About

Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Plastic and Reconstructive Surgery

Languages spoken

  • English

Location

1679 Eagle Harbor Pkwy Suite C Fleming Island , Florida 32003-4815
Get Directions

First Address

  • Dr. William Arthur Wallace JR.
  • 1679 Eagle Harbor Pkwy Suite C
  • Fleming Island, FL
  • Zip : 32003-4815
  • Fax : (904) 621-9272
  • Phone : (904) 348-0727

Second Address

  • Dr. William Arthur Wallace JR.
  • 1679 Eagle Harbor Pkwy Suite C
  • Fleming Island, FL
  • Zip : 32003-4815
  • Fax : (904) 621-9272
  • Phone : (904) 348-0727

Reviews

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FAQs

Where did Dr. William Arthur Wallace JR. attend graduate school?

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Where did Dr. William Arthur Wallace JR. do his residency?

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Where did Dr. William Arthur Wallace JR. do his fellowship?

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Is Dr. William Arthur Wallace JR. board certified?

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What type of doctor is Dr. William Arthur Wallace JR.

Plastic and Reconstructive Surgery

In what state does Dr. William Arthur Wallace JR. practice in?

Florida

Where is Dr. William Arthur Wallace JR.’s practice located?

1679 Eagle Harbor Pkwy Suite C , Fleming Island, Florida, 32003-4815

What is Dr. William Arthur Wallace JR.’s gender?

Male

Is Dr. William Arthur Wallace JR. a sole practitioner?

No

Is Dr. William Arthur Wallace JR. accepting new patients?

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What languages does Dr. William Arthur Wallace JR. speak?

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Does Dr. William Arthur Wallace JR. accept insurance?

Yes, Dr. William Arthur Wallace JR. accepts insurance

Does Dr. William Arthur Wallace JR. offers telemedicine?

Dr. William Arthur Wallace JR. has not indicated if he offers telemedicine

What is Dr. William Arthur Wallace JR.’s professional license number?

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What is Dr. William Arthur Wallace JR.’s NPI number?

1184842627

Does Dr. William Arthur Wallace JR. have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 2086S0122X Plastic and Reconstructive Surgery 35.079632 OH
Y 2086S0122X Plastic and Reconstructive Surgery ME107749 FL

National Provider Identifier

NPI 1184842627
Provider Name Dr. William Arthur Wallace JR.
First Address Fleming Island, FL 32003-4815
Second Address Fleming Island, FL 32003-4815
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 22/04/2007
Last Update Date 01/11/2015

NPI Footnotes

What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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