Allen, Joseph David

Allen, Joseph David is an individual health care provider with primary practice located at 836 Prudential Dr Suite 801, Jacksonville FL 32207-8334. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Allen, Joseph David can be contacted via phone (904) 288-0433.

Contact Information

Primary practice address
836 Prudential Dr Suite 801 Jacksonville FL 32207-8334
Fax: (904) 288-8996
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9100669 Florida

Profile Details

NPI number 1063416550
LBN Legal business name Allen, Joseph David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jul 3rd, 2013 - about 12 years ago

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 1063416550 NPPES
Florida MEDICAID 290895600

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