DR. Robert Jennings Wallace, MD is a general practice in St Petersburg, FL with 42 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee DR. Robert Jennings Wallace, MD NPI is 1821396151. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:1982
The provider's business location address is:
3600 CENTRAL AVE
ST PETERSBURG, FL
ZIP 33711-345
Phone: (727) 826-0700
Fax: (727) 954-6994
The NPI 1821396151 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/10/2011 and was last updated on 12/28/2023.