Organization
VANALLEN & ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA VANALLEN EVANS RD, LD (PRESIDENT)
(813) 258-6231
Entity
Organization
Contact information
Practice address
1102 N WILLOW AVE, TAMPA, FL 33607-5552
(813) 258-6231
(813) 258-6232
Mailing address
1102 N WILLOW AVE, TAMPA, FL 33607-5552
(813) 258-6231
(813) 258-6232
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
ND1732
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
683658596
STATE OF FLORIDA MEDWAVIER PROVIDER NUMBER
FL
Enumeration date
05/21/2013
Last updated
05/21/2013
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