Individual
ALLAN C OGLESBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
61 MEMORIAL MEDICAL PKWY STE 3804, PALM COAST, FL 32164-5982
(386) 586-1740
Mailing address
61 MEMORIAL MEDICAL PKWY, SUITE 3805, PALM COAST, FL 32164-5981
(386) 586-1740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0060915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375990300
—
FL
Enumeration date
01/26/2006
Last updated
01/17/2020
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