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Individual

ALLISON LARCOMBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4250 BISCAYNE BLVD APT 1110, MIAMI, FL 33137-3278
(908) 625-2049
Mailing address
4250 BISCAYNE BLVD APT 1110, MIAMI, FL 33137-3278
(908) 625-2049

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9111946
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1159290
NCCPA
01
9111946
FL BOARD OF MEDICINE
FL
Enumeration date
02/04/2019
Last updated
02/04/2019
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