Healthcare Provider Details

I. General information

NPI: 1366365041
Provider Name (Legal Business Name): MRS. ALLISON EMMA GREENWOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13123 KINGS LAKE DR UNIT 102
GIBSONTON FL
33534-3957
US

IV. Provider business mailing address

10006 PALERMO CIR APT 302
TAMPA FL
33619-5036
US

V. Phone/Fax

Practice location:
  • Phone: 813-467-2504
  • Fax:
Mailing address:
  • Phone: 563-209-4226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: