Search › Florida › 207Q00000X
Paul Wallace, M.D
NPI 1306875869 · on the registry since 2006
Practice
- Address
- 855 S Highland Ave
Clearwater, FL 33756 - Phone
- (727) 219-1833
- Fax
- (727) 330-2908
- Organisation at this address
- Dedicated Senior Medical Center Clearwater, Llc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-17
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