Doctor profile · Federal record
Dr. Latoya Wallace, PA
Physician Assistant · Surgical Physician Assistant · Medical Physician Assistant · Pensacola, FL
- NPI 1073764114
- 18 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1010 N 12Th Ave Ste 125
Pensacola, FL 325013315
(850) 361-8598
fax (850) 203-4629 - Additional location
-
1717 N E St, 208
Pensacola, FL 325016339
(850) 469-7771 - Mailing address
-
1010 N 12Th Ave
Pensacola, FL 325013370
Credentials & registration
- NPI registered
- October 2008 — 18 yrs on file
- Profile last updated
- April 15, 2020
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (2)
- Florida #PA9109974 · Arizona #4254
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1073764114. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$113
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | 1 | $112.63 |
By nature of payment
Frequently asked questions
What is Dr. Latoya Wallace's medical specialty?
Dr. Latoya Wallace practices Physician Assistant in Pensacola, FL.
Where does Dr. Latoya Wallace practice?
Dr. Latoya Wallace practices at 1010 N 12Th Ave Ste 125, Pensacola, FL 325013315. Office phone: 8503618598.
What is Dr. Latoya Wallace's NPI?
Dr. Latoya Wallace's National Provider Identifier (NPI) is 1073764114, issued by NPPES.