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NPI Code Detail

MEDICARE: PATRICIA ALLEN

MEDICARE:   PATRICIA  ALLEN
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
1106S00000XBehavior TechnicianFL
2163W00000XRegistered NurseRN9281220FL

Other Identifiers

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

General Provider Information

NPI Number : 1649650839
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA ALLEN
Provider Business Mailing Address
First Line : 2799 W OLD US HIGHWAY 441
Second Line :
City : MOUNT DORA
State : FL
Zip : 32757-3536
Country : US
Telephone Number : 352-459-1245
Fax Number :
Provider Business Practice Location Address
First Line : 2799 W OLD US HIGHWAY 441
Second Line :
City : MOUNT DORA
State : FL
Zip : 32757-3536
Country : US
Telephone Number : 352-250-2748
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2015
Last Update Date : 02/20/2026

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Directions to “ PATRICIA ALLEN ” Practice Location

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