Individual
EARL W MCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
561 RIVIERA DR, TAMPA, FL 33606-3807
(813) 335-5325
Mailing address
561 RIVIERA DR, TAMPA, FL 33606-3807
(813) 335-5325
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0047761
FL
2086S0102X
Surgical Critical Care Physician
ME0047761
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01236873
R&R MEDICARE
FL
Enumeration date
09/22/2006
Last updated
11/01/2022
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