NPI 1164598819 · live from the CMS NPI Registry
Marilyn J Allen, DPM
Podiatrist in Tampa, FL. National Provider Identifier 1164598819, active.
NPI record
| NPI | 1164598819 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 14201 Bruce B Downs Blvd, Suite 1, Tampa, FL 33613 |
| Practice phone | 813-978-9008 |
| Enumerated | November 27, 2006 |
| Last updated | May 21, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | PO 1355 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.