Allen, Reginald A

Allen, Reginald A is an individual health care provider with primary practice located at 201 Magnolia Ave Sw , Winter Haven FL 33880. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Allen, Reginald A can be contacted via phone (863) 293-6375.

Contact Information

Primary practice address
201 Magnolia Ave Sw Winter Haven FL 33880
Phone: (863) 293-6375
Fax: (863) 293-8877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036069997 Illinois
Allopathic & Osteopathic Physicians / Urology 208800000X ME57508 Florida

Profile Details

NPI number 1306842240
LBN Legal business name Allen, Reginald A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Jun 20th, 2014 - about 10 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 1306842240 NPPES
Florida MEDICAID 277900500
Florida MEDICAID 036069997

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