Individual
JOSEPH DAVID ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
836 PRUDENTIAL DR, SUITE 801, JACKSONVILLE, FL 32207-8334
(904) 288-0433
(904) 288-8996
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 265-6478
(904) 265-6409
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100669
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290895600
—
FL
Enumeration date
06/13/2005
Last updated
07/03/2013
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