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Individual

MRS. CARIMAR ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS CCCSLP

Contact information

Practice address
10706 STALLGATE DR, TAMPA, FL 33624-4809
(813) 240-4909
(813) 961-4523
Mailing address
10706 STALLGATE DR, TAMPA, FL 33624-4809

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7727
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11184501
CITRUS HMO
FL
01
355003
WELLCARE
FL
05
888908200
FL
01
S2854
BCBS
FL
Enumeration date
01/11/2007
Last updated
05/13/2008
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