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Cleveland Wallace
NPI 1447167440 · on the registry since 2026 · sole proprietor
Practice
- Address
- 2513 Camden Park Cir
Davenport, FL 33837 - Phone
- (863) 312-2612
Registry record
- Primary taxonomy
- 251C00000X
251C00000X
- Sex
- Male
- Record last updated
- 2026-08-25
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