Individual
LUIS GREGORIO ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 W COLONIAL DR STE 302, ORLANDO, FL 32804-6863
(407) 601-1370
Mailing address
425 W COLONIAL DR STE 302, ORLANDO, FL 32804-6863
(407) 601-1370
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
DR.0070374
CO
2084P0800X
Psychiatry Physician
ME72560
FL
2084P0805X
Geriatric Psychiatry Physician
Primary
ME72560
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252837100
—
FL
01
—
260031308
RAILROAD MEDICARE
—
01
—
41421
BCBS
FL
01
—
QU256
MEDICARE
FL
Enumeration date
05/30/2006
Last updated
07/08/2024
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