Individual provider · Type 1 NPI

Robert Jennings Wallace, MD

Family Medicine Physician · St. Petersburg, FL

NPI number 1821396151 Active

Practice location

3600 Central Ave
St. Petersburg, FL 33711-1345

Fax (727) 954-6994

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	ME42522 (FL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8 other providers at this address

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About NPI 1821396151

Robert Jennings Wallace, MD's National Provider Identifier is 1821396151, issued on Mar 10, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 24, 2025.