Healthcare Provider Details

I. General information

NPI: 1831580612
Provider Name (Legal Business Name): LOVE THE GOLDEN RULE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2015
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 CENTRAL AVE
ST PETERSBURG FL
33711-1345
US

IV. Provider business mailing address

3600 CENTRAL AVE
ST PETERSBURG FL
33711-1345
US

V. Phone/Fax

Practice location:
  • Phone: 727-826-0700
  • Fax: 727-954-6994
Mailing address:
  • Phone: 727-826-0700
  • Fax: 727-954-6994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT JENNINGS WALLACE
Title or Position: CEO/MEDICAL DIRECTOR
Credential: MD
Phone: 727-826-0700