Individual
MS. ALYSSA DANIELLE ALLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1651 SE TIFFANY AVE, PORT SAINT LUCIE, FL 34952-7564
(772) 398-1800
Mailing address
1651 SE TIFFANY AVE, PORT SAINT LUCIE, FL 34952-7564
(772) 398-1800
(772) 398-1825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME164371
FL
Other
Enumeration date
06/24/2021
Last updated
08/23/2024
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