Most Relevant Information
Provider Data
| NPI Number: | 1003206657 |
| Provider Name: | FLORIDA ALLEN NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 19576 |
Most Important Dates
| Enumeration Date: | 02/03/2015 |
| Last Updated: | 03/30/2016 |
Provider Practice Location
3362 S 3RD ST
MEMPHIS
TN
381092944
Practice Location Phone/Fax
| Phone: | 9017012510 |
| Fax: | 9012608598 |
Provider Mailing Location
2595 CENTRAL AVE
MEMPHIS
TN
381045905
Provider Mailing Phone/Fax
| Phone: | 9012716328 |
| Fax: |