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NPI Code Detail

MEDICARE: SANDRA LILLIAN ALLEN ARNP

MEDICARE: SANDRA LILLIAN ALLEN ARNP
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
1363L00000XNurse PractitionerARNP2948932FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1U5724YOTHERFLMEDICARE PTAN

General Provider Information

NPI Number : 1518083898
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA LILLIAN ALLEN ARNP
Provider Business Mailing Address
First Line : 7740 BOYNTON BEACH BLVD
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33437-3804
Country : US
Telephone Number : 561-752-8000
Fax Number : 561-752-8001
Provider Business Practice Location Address
First Line : 1054 GATEWAY BLVD
Second Line : SUITE 110
City : BOYNTON BEACH
State : FL
Zip : 33426-8301
Country : US
Telephone Number : 561-738-4770
Fax Number : 561-438-9727
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 10/23/2015

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Directions to “ SANDRA LILLIAN ALLEN ARNP” Practice Location

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