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NATHANIEL ALLEN PA

>> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1063432714

Individual Registrant:
 NATHANIEL  ALLEN PA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
320 1ST ST S  WINTER HAVEN, FL 33880-3501 US
Tel: 863-299-8485  Fax: 863-293-8450

Contact information for business:
320 1ST ST S  WINTER HAVEN, FL 33880-3501 US
Tel: --  Fax: --

Registration Information:
NPI: 1063432714
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
FLPA2770
X363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
FLPA2770

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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