Healthcare Provider Details

I. General information

NPI: 1669324844
Provider Name (Legal Business Name): ALON SHAUL APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8501 LITTLE RD
NEW PORT RICHEY FL
34654-4924
US

IV. Provider business mailing address

8501 LITTLE RD
NEW PORT RICHEY FL
34654-4924
US

V. Phone/Fax

Practice location:
  • Phone: 727-869-7755
  • Fax:
Mailing address:
  • Phone: 727-869-7755
  • Fax: 727-869-7372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11048750
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: