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

Dr. Robert Jennings Wallace, MD

Individual provider Family Medicine Physician · NPI 1821396151

Dr. Robert Jennings Wallace, MD is a Family Practice in St Petersburg, Florida. Graduated from University of Florida College of Medicine in 1982, 44 years ago. Practices with Love the Golden Rule Inc, a 3-clinician group and offers telehealth. Licensed in Florida.

Years since qualifying
44
Trained at
University of Florida College of Medicine
Licensed in
FL
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3600 Central Ave
St Petersburg, FL 33711-1345
Phone: (727) 826-0700
Fax: (727) 954-6994
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 ME42522 (FL)

Record details

NPI number1821396151
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 10, 2011
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address3600 Central Ave, St Petersburg, FL 33711-1345

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice Love The Golden Rule Inc — 3 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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