Organization
MID-FLORIDA PATHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES KYLE ALLEN II MD (DIRECTOR)
(352) 460-0292
Entity
Organization
Contact information
Practice address
2100 PREVATT ST, EUSTIS, FL 32726-6130
(352) 305-8903
(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
207ZC0500X
Cytopathology Physician
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
207ZH0000X
Hematology (Pathology) Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
04/09/2012
Last updated
08/15/2022
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