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DR. ELAINE WALLACE D.O.
NPI 1770537649
Neuromusculoskeletal Medicine, Sports Medicine in Davie, FL

Active since May 22, 2006
3200 S UNIVERSITY DR, #4316, DAVIE, FL 33328(954) 262-4316 Get Directions Write a Review

NPPES record last updated: September 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Elaine Wallace D.o. NPPES

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

DR. ELAINE WALLACE D.O. (NPI 1770537649) is an individual neuromusculoskeletal medicine, sports medicine provider in Davie, Florida, licensed in Florida (OS8356) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1770537649
Entity TypeIndividualFemale
Primary Taxonomy204C00000X
Provider Legal NameDR. ELAINE WALLACECredential: D.O.
Location Address3200 S UNIVERSITY DR, #4316Davie, FL 33328-2018
Mailing Address3001 W Rolling Hills Cir, 1-408Davie, FL 33328-1948
Phone(954) 262-4316
Sole ProprietorNo
Enumeration DateMay 22, 2006
Last NPPES UpdateSeptember 25, 2013
✔ NPI 1770537649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code204C00000X
License✔ Licensed in FL · OS8356
Definition
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/
3200 S UNIVERSITY DR, Davie, FL 33328
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Other Identifiers 1

Medicare UPINE22818

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 20

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

DR. NADINE M GIRGIS - HANNA O.D.
Optometrist
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-1728
MOBILEDERM, INC.
Dermatology
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 970-5824
ROJIN FATIRKHORANI DO
Student in an Organized Health Care Education/Training Program
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-1300
DR. MICHAEL NICOLAE GEORGESCU D.M.D.
Dentist (General Practice)
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-1835
JOEL MELVIN HAUPTMAN DDS
Dentist (Prosthodontics)
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-1909
DR. ANTONIO GODOY DDS., MS.
Dentist (Prosthodontics)
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-1908
SHIVA KHATAMI D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-7500
MS. KAREN S. BASEDOW RD
Dietitian, Registered
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-4100

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 Elaine Wallace's NPI number?

The NPI number for Elaine Wallace is 1770537649. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Elaine Wallace located?

Elaine Wallace practices at 3200 S University Dr #4316, Davie, FL 33328. The listed phone number is (954) 262-4316.

What is Elaine Wallace's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

What insurance does Elaine Wallace accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Elaine Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elaine Wallace was last updated on September 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.