Richard G Wallis Md Pa

LBN: Richard G Wallis Md Pa
Richard G Wallis Md Pa is an health care organization with primary practice located at 1 Shircliff Way , Jacksonville FL 32204-4748. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Richard G Wallis Md Pa can be contacted via phone (904) 421-2119, or through Wallis, Richard via phone (904) 421-2119.

Contact Information

Primary practice address
1 Shircliff Way Jacksonville FL 32204-4748
Phone: (904) 421-2119
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wallis, Richard Doctor of Medicine (MD)
Phone: (904) 421-2119

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME37752 Florida

Profile Details

NPI number 1801169412
LBN Legal business name Richard G Wallis Md Pa
DBA Doing business as
Authorized official Wallis, Richard Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2012
Last updated Feb 13th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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