Individual
MR. ALLEN MICHAELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5375 RIVERFRONT DR APT B, BRADENTON, FL 34208-5230
(813) 787-0254
Mailing address
5375 RIVERFRONT DR APT B, BRADENTON, FL 34208-5230
(813) 787-0254
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PSI 29716
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSI 29716
DEPARTMENT OF HEALTH
FL
Enumeration date
01/22/2015
Last updated
01/22/2015
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