Individual
PHYLLIS L ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR RESTORATION SPE
Contact information
Practice address
5759 EDGEWATER DR, ORLANDO, FL 32810-5258
(407) 733-0705
(407) 521-1595
Mailing address
5759 EDGEWATER DR, ORLANDO, FL 32810-5258
(407) 733-0705
(407) 521-1595
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CL0227470
FL
Other
Enumeration date
06/29/2017
Last updated
07/21/2022
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