# MID-FLORIDA PATHOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265798870
- **Authorized official:** DR. JAMES KYLE ALLEN II MD (DIRECTOR)
- **Authorized official phone:** (352) 460-0292

## Contact information

- **Practice address:** 2100 PREVATT ST, EUSTIS, FL 32726-6130
- **Practice address phone:** (352) 305-8903
- **Practice address fax:** (352) 460-0785
- **Mailing address:** PO BOX 490940, LEESBURG, FL 34749-0940
- **Mailing address phone:** (352) 460-0292
- **Mailing address fax:** (352) 460-0785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | — | NULL | — |
| 207ZC0500X | Cytopathology Physician | — | — | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | — | NULL | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | — | — | — |
| 207ZH0000X | Hematology (Pathology) Physician | — | NULL | — |
| 207ZH0000X | Hematology (Pathology) Physician | — | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2012
- **Last updated:** 08/15/2022