Healthcare Provider Details

I. General information

NPI: 1487622023
Provider Name (Legal Business Name): ALLISON GUYEN DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 08/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4308 ALTON RD SUITE 710
MIAMI BEACH FL
33140-4556
US

IV. Provider business mailing address

2020 N BAYSHORE DR APT 2009
MIAMI FL
33137-5167
US

V. Phone/Fax

Practice location:
  • Phone: 305-695-7777
  • Fax: 305-695-7707
Mailing address:
  • Phone: 305-695-7777
  • Fax: 305-695-7707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberMD002580
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberMD002580
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberMD002580
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO 3525
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: