| Dr Dana V Wallace, MD | |
| 2699 Stirling Rd Ste B305, Ft Lauderdale, FL 33312-6546 | |
| (954) 981-9180 | |
| (954) 961-4752 | 
| Full Name | Dr Dana V Wallace | 
|---|---|
| Gender | Female | 
| Speciality | Allergy & Immunology | 
| Location | 2699 Stirling Rd Ste B305, Ft Lauderdale, Florida | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1437192531 | NPI | - | NPPES | 
| 006256200 | Medicaid | FL | |
| 93292X | Other | FL | MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207K00000X | Allergy & Immunology | ME0025502 (Florida) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Dana V Wallace, MD 11880 Sw 40th St, Suite 304, Miami, FL 33175-3584 Ph: (305) 223-8808 | Dr Dana V Wallace, MD 2699 Stirling Rd Ste B305, Ft Lauderdale, FL 33312-6546 Ph: (954) 981-9180 | 
| Kelley Nicole Dages, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2021 E Commercial Blvd Ste 305, Ft Lauderdale, FL 33308 Phone: 954-492-5525 Fax: 954-492-1755 | |
| Ms. Yael Eva Kushner, PA-C Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2699 Stirling Rd Ste B305, Ft Lauderdale, FL 33312 Phone: 954-981-9180 Fax: 954-961-4752 |