Dr Richard B Allen, MD | |
4632 S 25th St, Fort Pierce, FL 34981-5057 | |
(772) 464-9595 | |
(772) 464-9582 |
Full Name | Dr Richard B Allen |
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Gender | Male |
Speciality | Otolaryngology - Otolaryngic Allergy |
Location | 4632 S 25th St, Fort Pierce, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124136155 | NPI | - | NPPES |
255052100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YX0602X | Otolaryngology - Otolaryngic Allergy | ME33479 (Florida) | Primary |
Entity Name | Associated Coastal Ear Nose & Throat Physicians Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134299753 PECOS PAC ID: 5395701445 Enrollment ID: O20041209000640 |
Mailing Address | Practice Location Address |
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Dr Richard B Allen, MD 4632 S 25th St, Fort Pierce, FL 34981-5057 Ph: (772) 464-9595 | Dr Richard B Allen, MD 4632 S 25th St, Fort Pierce, FL 34981-5057 Ph: (772) 464-9595 |
Dr. James L Autin, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1302 N Lawnwood Cir, Fort Pierce, FL 34950 Phone: 772-337-3700 Fax: 619-415-8099 | |
Dr. Michele L Richards, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4632 S 25th St, Fort Pierce, FL 34981 Phone: 772-464-9595 Fax: 772-464-9582 | |
David Zaboli, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1700 S 23rd St, Fort Pierce, FL 34950 Phone: 772-461-4000 | |
Ibrahim Bohsali, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2215 Nebraska Ave, Ste 1-d, Fort Pierce, FL 34950 Phone: 772-464-8707 | |
Dr. Christopher Lee Slack, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4632 S 25th St, Fort Pierce, FL 34981 Phone: 772-464-9595 Fax: 772-464-9582 |