Individual
DR. LOREN E ISAKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 CARILLON PKWY STE 301, SAINT PETERSBURG, FL 33716-1115
(727) 222-1879
(855) 853-7314
Mailing address
2655 ULMERTON RD # 225, CLEARWATER, FL 33762-3337
(727) 222-1879
(855) 853-7314
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
066845
GA
207K00000X
Allergy & Immunology Physician
Primary
ME110222
FL
208000000X
Pediatrics Physician
243002
NY
Other
Enumeration date
04/04/2007
Last updated
03/12/2021
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