Individual
MR. ALLAN BRENT SELPH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-5282
(352) 265-0761
(352) 265-1060
Mailing address
PO BOX 100286, GAINESVILLE, FL 32610-0286
(352) 265-0761
(352) 265-1060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9117675
FL
Other
Enumeration date
05/24/2023
Last updated
07/24/2023
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