Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. William Arthur Wallace Jr., MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1184842627

Dr. William Arthur Wallace Jr., MD is a Plastic and Reconstructive Surgery Physician in Fleming Island, Florida. Licensed in Florida and Ohio. Registered with an NPI since 2007.

Licensed in
FL, OH
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1679 Eagle Harbor Pkwy Ste C
Fleming Island, FL 32003-4815
Phone: (904) 348-0727
Fax: (904) 621-9272
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence ME107749 (FL)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 35.079632 (OH)

Record details

NPI number1184842627
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 22, 2007
Last updated in NPPESNovember 1, 2015

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