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Individual

ALLAN PRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1503-1507 BILL BECK BLVD, KISSIMMEE, FL 34744
(407) 343-2050
(407) 343-2169
Mailing address
1875 BOGGY CREEK RD, ATTN BILLING DEPT, KISSIMMEE, FL 34744
(407) 343-2000
(407) 343-2002

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OS0004426
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
274205500
FL
Enumeration date
10/27/2005
Last updated
12/11/2012
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