Individual
DR. ALLISON W HANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1803 PARK CENTER DR, ORLANDO, FL 32835-6216
(407) 801-5001
(407) 299-8999
Mailing address
1803 PARK CENTER DR STE 110, ORLANDO, FL 32835-6216
(407) 801-5001
(407) 299-8999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME0069749
FL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
ME0069749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250015900
—
FL
01
—
28914
BLUE CROSS PROVIDER #
FL
01
—
28914V
MEDICARE PTAN - FL
FL
Enumeration date
11/07/2005
Last updated
05/28/2019
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