Individual
MRS. CHRISTY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
548 S US HIGHWAY 27 STE A, MINNEOLA, FL 34715-1903
(352) 250-8410
Mailing address
11 BAY RIDGE LOOP, MASCOTTE, FL 34753-8832
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CL1178655
FL
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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