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Individual

WILLIAM ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5721 IMPERIAL KY, TAMPA, FL 33615-3506
(813) 817-1881
(813) 818-1880
Mailing address
5721 IMPERIAL KY, TAMPA, FL 33615-3506
(813) 817-1881
(813) 818-1880

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
039719
GA
207P00000X
Emergency Medicine Physician
17086
TN
207P00000X
Emergency Medicine Physician
Primary
ME66503
FL

Other

Enumeration date
12/01/2006
Last updated
05/23/2011
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