Healthcare Provider Details
I. General information
NPI: 1699900704
Provider Name (Legal Business Name): ALLISON MARIE RATHMANN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/18/2009
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1234 SE MAGNOLIA EXT UNIT 1
OCALA FL
34471-3770
US
IV. Provider business mailing address
1234 SE MAGNOLIA EXT UNIT 1
OCALA FL
34471-3770
US
V. Phone/Fax
- Phone: 352-401-1218
- Fax:
- Phone: 973-943-3262
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207T00000X |
| Taxonomy | Neurological Surgery Physician |
| License Number | OS21128 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207T00000X |
| Taxonomy | Neurological Surgery Physician |
| License Number | T4041 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: