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WALLACE HEALTH, LLC
NPI 1598356289
Nurse Practitioner - Adult Health in Umatilla, FL

Active since January 27, 2021
287 S CENTRAL AVE, UMATILLA, FL 32784(352) 747-0747 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wallace Health, Llc NPPES

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

WALLACE HEALTH, LLC (NPI 1598356289) is a healthcare organization registered as an adult health in Umatilla, Florida and active in the NPI registry since January 2021. The organization lists Colleen Wallace, Owner, as its authorized official.

NPPES Registry Identity

NPI1598356289
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameWALLACE HEALTH, LLC
Location Address287 S CENTRAL AVEUmatilla, FL 32784-8411
Mailing AddressPo Box 2485Umatilla, FL 32784-2485 · (352) 551-9404
Phone(352) 747-0747
Organization SubpartNo
Authorized OfficialColleen WallaceOwner · (352) 747-0747
Enumeration DateJanuary 27, 2021
NPPES CertifiedJanuary 27, 2021
✔ NPI 1598356289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
287 S CENTRAL AVE, Umatilla, FL 32784
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GAIL J DUDLEY DO
Family Medicine
287 S CENTRAL AVE
UMATILLA, FL 32784
Lake County (352) 669-3161
COLLEEN WALLACE
Family Medicine (Adult Medicine)
287 S CENTRAL AVE
UMATILLA, FL 32784
Lake County (352) 747-0747

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 Wallace Health, LLC's NPI number?

The NPI number for Wallace Health, LLC is 1598356289. It was assigned to this organization in the NPPES registry on January 27, 2021.

Where is Wallace Health, LLC located?

Wallace Health, LLC is located at 287 S Central Ave, Umatilla, FL 32784. The listed phone number is (352) 747-0747.

What is Wallace Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Wallace Health, LLC was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.