Individual
ALISSA GAYLE HOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13933 17TH ST STE 101, DADE CITY, FL 33525-4604
(352) 567-6763
(352) 567-2146
Mailing address
13933 17TH ST STE 101, DADE CITY, FL 33525-4604
(352) 567-6763
(352) 567-2146
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
APRN11019122
FL
363LF0000X
Family Nurse Practitioner
A004496
AR
363LF0000X
Family Nurse Practitioner
Primary
APRN11019122
FL
Other
Enumeration date
07/30/2015
Last updated
04/23/2024
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