Individual
MR. JOHN WARNER ALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2937 S ATLANTIC AVE, APT 508, DAYTONA BEACH SHORES, FL 32118-6045
(386) 767-7731
Mailing address
2937 S ATLANTIC AVE, APT 508, DAYTONA BEACH SHORES, FL 32118-6045
(386) 767-7731
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230464300
—
FL
Enumeration date
04/28/2008
Last updated
04/28/2008
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