Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184842627 Individual Practitioner Male Practitioner

Dr. William Arthur Wallace , MD

Surgery - Plastic and Reconstructive Surgery • Fleming Island, FL

Professional Overview & Biography Verified Profile Summary

Dr. William Wallace, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Fleming Island, FL. Practice services are available at 1679 EAGLE HARBOR PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1679 Eagle Harbor Pkwy
Suite C

Fleming Island, FL 320034815

Telephone 9043480727
Fax 9046219272
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Fleming Island, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Fleming Island, FL (258 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License FL ME107749

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License OH 35.079632

A surgeon who specializes in plastic and reconstructive surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Maria Rafael , NP

Nurse Practitioner - Family

NPI 1770066078

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 01, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2015

Registered at 1679 EAGLE HARBOR PKWY, SUITE C, FLEMING ISLAND, FL 320034815 (Tel: 9043480727)

📍
Updated Business Mailing Address November 01, 2015

Registered at 1679 EAGLE HARBOR PKWY, SUITE C, FLEMING ISLAND, FL 320034815 (Tel: 9043480727)

👤
Provider Name / Credentials Updated November 01, 2015

Recorded as WILLIAM WALLACE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2015

Surgery (License #ME107749 in FL)

🟢
Initial NPI Registration & Enumeration April 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184842627
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 22, 2007
Last Update: November 01, 2015
Sole Proprietor: No

Mailing Address

1679 Eagle Harbor Pkwy, Suite C

Fleming Island, FL 320034815

Phone: 9043480727

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.