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Organization

INPATIENT HOSPITAL NEUROLOGISTS PA

Active
Other names
Evan Allen MD
Organization subpart
No

Provider details

NPI number
Authorized official
EVAN ALLEN MD (PRESIDENT OWNER)
(407) 905-4997
Entity
Organization

Contact information

Practice address
13506 SUMMERPORT VILLAGE PKWY, #413, WINDERMERE, FL 34786-7366
(407) 905-4997
(407) 876-9808
Mailing address
PO BOX 741240, ORANGE CITY, FL 32774-1240
(386) 774-5211
(386) 774-5251

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME82452
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
262555500
FL
01
58985
BCBSFL
FL
01
DC4472
RAILROAD MEDICARE
FL
Enumeration date
11/08/2006
Last updated
05/20/2008
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