Allen, Gary S.

Allen, Gary S. is an individual health care provider with primary practice located at 3310 Waterman Way , Tavares FL 32778-5250. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Allen, Gary S. can be contacted via phone (352) 343-1216.

Contact Information

Primary practice address
3310 Waterman Way Tavares FL 32778-5250
Phone: (352) 343-1216
Fax: (352) 343-1582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME80476 Florida

Profile Details

NPI number 1154327872
LBN Legal business name Allen, Gary S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Apr 19th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154327872 NPPES
Florida MEDICAID 258936200

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