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IMA LATOYA WALLACE
NPI 1053063834
Technician, Other in Jacksonville, FL

Active since January 22, 2022
9951 ATLANTIC BLVD STE 300, JACKSONVILLE, FL 32225(833) 434-5223(888) 686-6271 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ima Latoya Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMA LATOYA WALLACE (NPI 1053063834) is an individual technician, other provider in Jacksonville, Florida and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1053063834
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameIMA LATOYA WALLACE
Location Address9951 ATLANTIC BLVD STE 300Jacksonville, FL 32225-6574
Mailing Address9951 Atlantic Blvd Ste 300Jacksonville, FL 32225-6574 · (833) 434-5223 · Fax (888) 686-6271
Phone(833) 434-5223
Fax(888) 686-6271
Sole ProprietorYes
Enumeration DateJanuary 22, 2022
Last NPPES UpdateJune 17, 2022
NPPES CertifiedJune 17, 2022
✔ NPI 1053063834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

9951 ATLANTIC BLVD STE 300, Jacksonville, FL 32225
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ima Wallace's NPI number?

The NPI number for Ima Wallace is 1053063834. It was assigned to this individual provider in the NPPES registry on January 22, 2022.

Where is Ima Wallace located?

Ima Wallace practices at 9951 Atlantic Blvd Ste 300, Jacksonville, FL 32225. The listed phone number is (833) 434-5223.

What is Ima Wallace's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Ima Wallace was last updated on June 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.