Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Paul R. Wallace, MD

Individual provider Family Medicine Physician · NPI 1306875869

Dr. Paul R. Wallace, MD is a Family Medicine Physician in Clearwater, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

855 S Highland Ave
Clearwater, FL 33756-4446
Phone: (727) 219-1833
Fax: (727) 330-2908
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME69904 (FL)

Record details

NPI number1306875869
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 17, 2022
Mailing address1301 2nd Ave Sw, Largo, FL 33770-3120

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