Individual
ALLEN ROBERTSON TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11261 SAN JOSE BLVD, JACKSONVILLE, FL 32223-7230
(904) 292-9033
(904) 390-7499
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME129016
FL
Other
Enumeration date
06/11/2013
Last updated
08/01/2023
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