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

Mervin P Wallace, MD

Individual provider Family Medicine Physician · NPI 1346269883

Mervin P Wallace, MD is a Family Practice in Tallahassee, Florida. Qualified in 2002, 24 years ago. Practices with Capital Health Plan, Inc, a 44-clinician group. Licensed in Florida.

Years since qualifying
24
Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1264 Metropolitan Blvd
Tallahassee, FL 32312-2536
Phone: (850) 383-3471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X · Licence ME95779 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence ME95779 (FL)

Record details

NPI number1346269883
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025
Mailing addressPo Box 15349, Tallahassee, FL 32317-5349

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesGERIATRIC MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Capital Health Plan, Inc — 44 clinicians
Accepts Medicare assignment Not indicated

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