Healthcare Provider Details

I. General information

NPI: 1184547143
Provider Name (Legal Business Name): ALLISON L O'STEEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 SE 3RD ST
TRENTON FL
32693-3247
US

IV. Provider business mailing address

904 SW 398TH ST
HORSESHOE BEACH FL
32648-2210
US

V. Phone/Fax

Practice location:
  • Phone: 352-577-5252
  • Fax:
Mailing address:
  • Phone: 352-210-0632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11049724
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: