TASHA B WALLACE
Osteopathic Medicine at Lee Blvd, Lehigh Acres, FL

License number
Florida 8622
Issued Date
Mar 18, 2002
Effective Date
Mar 18, 2002
Expiration Date
Mar 31, 2018
Category
Health Care
Type
Osteopathic Physician
Address
Address
3400 Lee Blvd UNIT 108, Lehigh Acres, FL 33971
Phone
(239) 369-2903
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

See more information about TASHA B WALLACE at bizstanding.com

Wallace Family Practice, PA

Lehigh Acres, FL

Industry:
Medical Doctor's Office
Doing business as:
Wallace Family Practice - Tasha B Wallace Do
Registration:
Sep 28, 2006
Phone:
(239) 369-2903 (Phone)
Addresses:
3400 Lee Blvd, Lehigh Acres, FL 33971
400 Lee Blvd, Lehigh Acres, FL 33936
State ID:
P06000125002
Business type:
Domestic for Profit Corporation
Director:
Tasha B. Wallace (Director)
Categories:
Family & General Practice Physicians & Surgeons, Osteopathic Physicians & Surgeons, Physicians & Surgeons

Professional information

Tasha B Wallace Photo 1

Dr. Tasha B Wallace, Lehigh Acres FL - DO (Doctor of Osteopathic Medicine)
Specialties:
Osteopathic Manipulative Therapy
Age:
52
Address:
Wallace Family Practice
3400 Lee Blvd STE 108, Lehigh Acres 33971
(239) 369-2903 (Phone)
Certifications:
Osteopathic Manipulative Medicine
Awards:
Healthgrades Honor Roll
Languages:
English
Education:
Medical School
Umdnj-Sch Of Osteo Med
Graduated: 2000

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