MEDICARE: ALLISON BRUNER SAMMONS DNP

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	363L00000X	Nurse Practitioner	ARNP9247229	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083960033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON BRUNER SAMMONS DNP

Provider Business Mailing Address
First Line	:	7050 W PALMETTO PARK RD
Second Line	:	SUITE 30
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3426
Country	:	US
Telephone Number	:	561-602-5599
Fax Number	:

Provider Business Practice Location Address
First Line	:	7050 W PALMETTO PARK RD
Second Line	:	SUITE 30
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3426
Country	:	US
Telephone Number	:	561-353-3376
Fax Number	:

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

Provider Enumeration Date	:	07/27/2012
Last Update Date	:	05/05/2015

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