Organization
INPATIENT HOSPITAL NEUROLOGISTS PA
Active
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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