Dr William Arthur Wallace Jr, MD - Surgery in Fleming Island, FL

Dr William Arthur Wallace Jr, MD is a Surgery - Plastic And Reconstructive Surgery physician based in Fleming Island, Florida. Dr William Arthur Wallace Jr is licensed to practice in Florida (license number ME107749) and his current practice location is 1679 Eagle Harbor Pkwy, Suite C, Fleming Island, Florida. He can be reached at his office (for appointments etc.) via phone at (904) 348-0727.

NPI number for Dr William Arthur Wallace Jr is 1184842627 and his current mailing address is 1679 Eagle Harbor Pkwy, Suite C, Fleming Island, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184842627.

Contact Information

Dr William Arthur Wallace Jr, MD
1679 Eagle Harbor Pkwy, Suite C,
Fleming Island, FL 32003-4815
(904) 348-0727
(904) 621-9272

Map and Direction




Physician's Profile

Full NameDr William Arthur Wallace Jr
GenderMale
SpecialitySurgery - Plastic And Reconstructive Surgery
Location1679 Eagle Harbor Pkwy, Fleming Island, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1184842627
  • Provider Enumeration Date: 04/22/2007
  • Last Update Date: 11/01/2015

Medical Identifiers

Medical identifiers for Dr William Arthur Wallace Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184842627NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery ME107749 (Florida)Primary
2086S0122XSurgery - Plastic And Reconstructive Surgery 35.079632 (Ohio)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr William Arthur Wallace Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr William Arthur Wallace Jr, MD
1679 Eagle Harbor Pkwy, Suite C,
Fleming Island, FL 32003-4815

Ph: (904) 348-0727
Dr William Arthur Wallace Jr, MD
1679 Eagle Harbor Pkwy, Suite C,
Fleming Island, FL 32003-4815

Ph: (904) 348-0727

Reviews and Comments


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