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Individual

DR. JAMES K ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
120 E NORTH BLVD, SUITE 102, LEESBURG, FL 34748-5241
(352) 460-0292
(352) 460-0785
Mailing address
PO BOX 490940, LEESBURG, FL 34749-0940
(352) 460-0292
(352) 460-0785

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME77897
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
256669900
FL
Enumeration date
01/11/2006
Last updated
06/14/2012
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