MEDICARE: ALLAN C OGLESBY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME0060915	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124098553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLAN C OGLESBY M.D.

Provider Business Mailing Address
First Line	:	61 MEMORIAL MEDICAL PKWY
Second Line	:	SUITE 3805
City	:	PALM COAST
State	:	FL
Zip	:	32164-5981
Country	:	US
Telephone Number	:	386-586-1740
Fax Number	:

Provider Business Practice Location Address
First Line	:	61 MEMORIAL MEDICAL PKWY STE 3804
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-5982
Country	:	US
Telephone Number	:	386-586-1740
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	01/17/2020

Similar Medicare Providers

1336147693 — MR. EARLE M PESCATORE JR. D.O.
Practice Location Address:

61 MEMORIAL MEDICAL PKWY STE 3807
PALM COAST, FL
32164-5982

Practice Phone: 386-231-5386
Practice Fax: 386-359-2945

1386726453 — RALPH A HIGHSHAW MD
Practice Location Address:

61 MEMORIAL MEDICAL PKWY STE 3807
PALM COAST, FL
32164-5982

Practice Phone: 386-586-1705
Practice Fax: 386-586-1706

1932373479 — AMIT NANAVATI MD
Practice Location Address:

61 MEMORIAL MEDICAL PKWY STE 3816
PALM COAST, FL
32164-5982

Practice Phone: 386-586-4765
Practice Fax: 386-586-4769

1043459563 — MR. FERNANDO M ULLOA APRN
Practice Location Address:

61 MEMORIAL MEDICAL PKWY STE 3803
PALM COAST, FL
32164-5982

Practice Phone: 718-721-1674
Practice Fax:

1134448129 — DR. MATTHEW JULIAN WIDEROFF M.D.
Practice Location Address:

61 MEMORIAL MEDICAL PKWY STE 3805
PALM COAST, FL
32164-5982

Practice Phone: 386-586-1605
Practice Fax: 386-586-1607

1740586288 — MRS. KELLIE KILPATRICK BATTILLO FNP-C, ARNP
Practice Location Address:

61 MEMORIAL MEDICAL PKWY STE 3805
PALM COAST, FL
32164-5982

Practice Phone: 386-586-1605
Practice Fax: 386-586-1607

Directions to “ ALLAN C OGLESBY M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.