PAUL R. WALLACE

CLEARWATER, FL
NPI1306875869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME69904)
Enumeration Date2006-06-30
Last Update Date2022-02-17
Business Address
Dr. PAUL R. WALLACE M.D.
855 S HIGHLAND AVE
CLEARWATER, FL 33756-4446
Phone number: 727-219-1833
Mailing Address
Dr. PAUL R. WALLACE M.D.
1301 2ND AVE SW
LARGO, FL 33770-3120
Phone number: 727-584-7706