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1306875869
PAUL R. WALLACE
CLEARWATER, FL
NPI
1306875869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME69904)
Enumeration Date
2006-06-30
Last Update Date
2022-02-17
Business Address
Dr. PAUL R. WALLACE M.D.
855 S HIGHLAND AVE
CLEARWATER, FL 33756-4446
Phone number: 727-219-1833
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Mailing Address
Dr. PAUL R. WALLACE M.D.
1301 2ND AVE SW
LARGO, FL 33770-3120
Phone number: 727-584-7706
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