Robert J Wallace (NPI# 1821396151, PAC ID# 6608027651) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1821396151 |
| PAC ID by PECOS | 6608027651 |
| Professional Enrollment ID | I20121121000454 |
| Full Name | Robert J Wallace |
| Address |
3000 1st Ave N St Petersburg FL 33713-8607 |
| Gender | M |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 3000 1st Ave N, St Petersburg, FL 33713-8607 |
| Street Address |
3000 1ST AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip | 33713-8607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Archana Pudur | Family Medicine | Baycare Medical Group, Inc. | 3745 33rd St N, St Petersburg, FL 33713-1506 |
| Mary Rose Tricamo | Nurse Practitioner | Baycare Medical Group, Inc. | 3745 33rd St N, St Petersburg, FL 33713-1506 |
| Daniel Jeffrey Behn | Optometry | The Eye Associates of Manatee, LLP. | 1601 38th Ave N, St Petersburg, FL 33713-1926 |
| Stephen A Updegraff | Ophthalmology | The Eye Associates of Manatee, LLP. | 1601 38th Ave N, St Petersburg, FL 33713-1926 |
| Patrick Carrier | Ophthalmology | The Eye Associates of Manatee, LLP. | 1601 38th Ave N, St Petersburg, FL 33713-1926 |
| David C Klein | Ophthalmology | The Eye Associates of Manatee, LLP. | 1601 38th Ave N, St Petersburg, FL 33713-1926 |
| Robert E Wein | Certified Registered Nurse Anesthetist (crna) | 1601 38th Ave N, St Petersburg, FL 33713-1926 | |
| Angela R Diamantakos | Optometry | The Eye Associates of Manatee, LLP. | 1601 38th Ave N, St Petersburg, FL 33713-1926 |
| Amanda E Geary | Optometry | Southeast Eye Institute Pa | 1915 34th N St, Saint Petersburg, FL 33713-3605 |
| Rachael L Seets | Physician Assistant | 1001 37th St N, Suite C, St Petersburg, FL 33713-6010 | |
| Find all physicians in zip 33713 | |||
| City | ST PETERSBURG |
| Zip Code | 33713 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ST PETERSBURG + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Robert J Wallace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.