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

Dr. Richard B Wallace, DO

Individual provider Psychiatry Physician · NPI 1457442477

Dr. Richard B Wallace, DO is a Psychiatry Physician in Leesburg, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

215 N 3rd St
Leesburg, FL 34748-5105
Phone: (352) 315-7900
Fax: (352) 315-7587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 05-22572 (FL)

Record details

NPI number1457442477
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESApril 30, 2019
Mailing address215 N 3rd St, Leesburg, FL 34748-5105

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