Organization
ANTI-AGING & WELLNESS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN M ALLEN D.O, (OWNER)
(813) 253-3223
Entity
Organization
Contact information
Practice address
1502 S MACDILL AVE, TAMPA, FL 33629-5214
(813) 253-3223
(813) 251-4407
Mailing address
1502 S MACDILL AVE, TAMPA, FL 33629-5214
(813) 253-3223
(813) 251-4407
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS5170
FL
Other
Enumeration date
09/24/2007
Last updated
06/21/2011
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