Healthcare Provider Details
I. General information
NPI: 1275851537
Provider Name (Legal Business Name): MICHAEL P ALLISON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/12/2010
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
26286 US HIGHWAY 19 N STE B
CLEARWATER FL
33761-4506
US
IV. Provider business mailing address
807 N MYRTLE AVE
CLEARWATER FL
33755-4254
US
V. Phone/Fax
- Phone: 727-824-8181
- Fax:
- Phone: 727-467-2400
- Fax: 727-467-2477
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VX0000X |
| Taxonomy | Obstetrics Physician |
| License Number | ME114045 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | ME114045 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: