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NPI Code Detail

MEDICARE: JULIE ALLEN M.D.

MEDICARE: JULIE ALLEN M.D.
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
1207Q00000XFamily Medicine Physician72884GA
2207Q00000XFamily Medicine PhysicianME153809FL

Other Identifiers

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

General Provider Information

NPI Number : 1912293200
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE ALLEN M.D.
Provider Business Mailing Address
First Line : 4998 10TH AVE N
Second Line :
City : GREENACRES
State : FL
Zip : 33463-2210
Country : US
Telephone Number : 561-293-2900
Fax Number : 561-412-5554
Provider Business Practice Location Address
First Line : 4998 10TH AVE N
Second Line :
City : GREENACRES
State : FL
Zip : 33463-2210
Country : US
Telephone Number : 561-293-2900
Fax Number : 561-412-5554
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2011
Last Update Date : 10/07/2024

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