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Primary Practice Address
4600 N HABANA AVE SUITE 15
TAMPA, FL 33614-7112 US
Accepts Medicare Payment

PECOS Enrolled

Peggy Lynn Wallace

Nurse Practitioner (Adult Health)


Peggy Lynn Wallace

Overview

Peggy Lynn Wallace is a Nurse Practitioner (Adult Health) in the TAMPA area and has over 31 years of experience. Peggy Lynn Wallace primary office location is at 4600 N HABANA AVE and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 1994

Peggy Lynn Wallace is affiliated with one hospital in the TAMPA area, ST JOSEPHS HOSPITAL. The NPI number is 1285930123 and the information was updated approximately 14 years ago.

Peggy Lynn Wallace is affiliated with one medical group in the TAMPA area, ST. JOSEPH'S HOSPITAL, INC..

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
4600 N HABANA AVE SUITE 15
TAMPA, FL 33614-7112 US
Phone: (813)-870-4460
Fax:
Practice Mailing Information
110 W NORTH ST
TAMPA, FL 33614-7112 US
Phone: (813)-857-2679
Fax:

Practice Location Addresses: 1

License NumberState
9274861FL