Individual
ANEESA ALLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
436 N DILLARD ST, WINTER GARDEN, FL 34787-2817
(407) 877-8080
(407) 877-0907
Mailing address
436 N DILLARD ST, WINTER GARDEN, FL 34787-2817
(407) 877-8080
(407) 877-0907
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
FL
363AM0700X
Medical Physician Assistant
Primary
PA9113560
FL
Other
Enumeration date
09/08/2020
Last updated
01/05/2024
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