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

Robert Vernon Wallace, MD

Individual provider Family Medicine Physician · NPI 1922113174

Robert Vernon Wallace, MD is a Family Medicine Physician in Lehigh Acres, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
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

400 Lee Blvd
Lehigh Acres, FL 33936-4923
Phone: (239) 369-2903
Fax: (239) 369-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME0013849 (FL)

Record details

NPI number1922113174
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 20, 2006
Last updated in NPPESMarch 7, 2023
Mailing addressPo Box 848, Lehigh Acres, FL 33970-0848

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