Lisa Allen-khalil Md Pa | |
11373 Cortez Blvd Ste 102 Brooksville FL 34613-5414 | |
(352) 592-5000 | |
(352) 592-5001 |
Full Name | Lisa Allen-khalil Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 11373 Cortez Blvd Ste 102, Brooksville, Florida |
Authorized Official Name and Position | Lisa A Allen-khalil (OWNER/MEDICAL DOCTOR) |
Authorized Official Contact | 3525925000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lisa Allen-khalil Md Pa 11373 Cortez Blvd Ste 102 Brooksville FL 34613-5411 Ph: (352) 592-5000 | Lisa Allen-khalil Md Pa 11373 Cortez Blvd Ste 102 Brooksville FL 34613-5414 Ph: (352) 592-5000 |
NPI Number | 1780641894 |
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Provider Enumeration Date | 05/01/2006 |
Last Update Date | 12/21/2021 |
Medicare PECOS PAC ID | 7315073145 |
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Medicare Enrollment ID | O20100331000110 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780641894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Lisa Allen-khalil |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669439741 PECOS PAC ID: 1052447885 Enrollment ID: I20100331000105 |
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