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Search › Florida › 207Q00000X

Richard Wallace, M.D

NPI 1275586448 · on the registry since 2006

Practice

Address
1001 S Fort Harrison Ave
Suite 101
Clearwater, FL 33756
Phone
(727) 441-5044
Fax
(727) 441-5008
Organisation at this address
American Integrative Health
Bayside Urgent Care Center Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207QS0010X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-09-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida