Root, Allen W

Root, Allen W is an individual health care provider with primary practice located at 601 5Th St S , St Petersburg FL 33701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Endocrinology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is his primary health care specialty. Root, Allen W can be contacted via phone (727) 767-3636.

Contact Information

Primary practice address
601 5Th St S St Petersburg FL 33701
Phone: (727) 767-3636
Fax: (727) 767-3638
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X ME8466 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME8466 Florida

Profile Details

NPI number 1467462358
LBN Legal business name Root, Allen W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jun 1st, 2018 - about 6 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 1467462358 NPPES
Florida MEDICAID 053020400
Florida Other 52839

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