MEDICARE: ALLISON CALE NP-C

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	363LF0000X	Family Nurse Practitioner	ARNP9324429	FL

General Provider Information

NPI Number	:	1316312770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON CALE NP-C

Provider Business Mailing Address
First Line	:	2550 W DR MLK BLVD
Second Line	:	SUITE B
City	:	TAMPA
State	:	FL
Zip	:	33607-6302
Country	:	US
Telephone Number	:	813-876-6483
Fax Number	:	727-350-4195

Provider Business Practice Location Address
First Line	:	2550 W DR MLK BLVD
Second Line	:	SUITE B
City	:	TAMPA
State	:	FL
Zip	:	33607-6302
Country	:	US
Telephone Number	:	813-876-6483
Fax Number	:	727-350-4195

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

Provider Enumeration Date	:	12/09/2015
Last Update Date	:	07/05/2016

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