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Organization
LOVE THE GOLDEN RULE INC
Active
Organization
LOVE THE GOLDEN RULE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JENNINGS WALLACE MD (CEO/MEDICAL DIRECTOR)
(727) 826-0700
Entity
Organization
Contact information
Practice address
3600 CENTRAL AVE, ST PETERSBURG, FL 33711-1345
(727) 826-0700
(727) 954-6994
Mailing address
3600 CENTRAL AVE, ST PETERSBURG, FL 33711-1345
(727) 826-0700
(727) 954-6994
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016456900
—
FL
01
—
IC068A
BC FL PROV ID
FL
Enumeration date
02/14/2015
Last updated
06/23/2025
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