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NATHANIEL ALLEN PA
>> Emergency Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1063432714
Individual Registrant: NATHANIEL ALLEN PA
Gender: M
Not Sole Proprietor
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
Tel: 863-299-8485 Fax: 863-293-8450
Contact information for business:
320 1ST ST S WINTER HAVEN, FL 33880-3501 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1063432714
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| X | 207P00000X | Allopathic & Osteopathic Physicians Emergency Medicine | FL | PA2770 |
| X | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | FL | PA2770 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
