MEDICARE: ALLISON HOPE SCANLON P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA64943	CA
2	363A00000X	Physician Assistant	PA9117669	FL

General Provider Information

NPI Number	:	1083953475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON HOPE SCANLON P.A.

Provider Business Mailing Address
First Line	:	3194 S UNIVERSITY DR
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-3005
Country	:	US
Telephone Number	:	954-988-5770
Fax Number	:

Provider Business Practice Location Address
First Line	:	3194 S UNIVERSITY DR
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-3005
Country	:	US
Telephone Number	:	954-988-5770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2013
Last Update Date	:	01/27/2025

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Directions to “ ALLISON HOPE SCANLON P.A.” Practice Location

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