Individual
DR. ALLISON MARIE HALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS15877
FL
208M00000X
Hospitalist Physician
Primary
OS15877
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103072300
—
FL
01
—
3Y9X3
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/25/2016
Last updated
04/26/2021
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