Individual
DR. NATHAN D ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8725 N WICKHAM RD, SUITE 302, MELBOURNE, FL 32940-2239
(321) 434-9230
(321) 434-9231
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-9230
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
ME109885
FL
208600000X
Surgery Physician
Primary
ME109885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117593000
—
FL
01
—
FF615Y
MEDICARE
FL
Enumeration date
04/19/2010
Last updated
11/10/2023
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