Allison Maccollom West, ARNP | |
410 Waymont Ct, Lake Mary, FL 32746-3485 | |
(407) 323-3550 | |
Not Available |
Full Name | Allison Maccollom West |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 410 Waymont Ct, Lake Mary, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932579224 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | ARNP9418478 (Florida) | Primary |
Entity Name | Florida Hospital Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
Mailing Address | Practice Location Address |
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Allison Maccollom West, ARNP 410 Waymont Ct, Lake Mary, FL 32746-3485 Ph: (407) 323-3550 | Allison Maccollom West, ARNP 410 Waymont Ct, Lake Mary, FL 32746-3485 Ph: (407) 323-3550 |
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