Individual
MEREDITH PATRICE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
203 KINGSWAY RD STE A, BRANDON, FL 33510-4679
(813) 655-5106
Mailing address
203 KINGSWAY RD STE A, BRANDON, FL 33510-4679
(813) 655-5106
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9168992
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004399200
—
FL
Enumeration date
05/03/2011
Last updated
02/12/2014
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