PHYLLIS L ALLEN (NPI# 1417478447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417478447 |
| Entity Type | Individual |
| Full Name | PHYLLIS L ALLEN |
| Credential | HAIR RESTORATION SPE |
| Practice Address |
5759 Edgewater Dr Orlando FL 32810-5258 |
| Practice Telephone | (407) 733-0705 |
| Practice Fax Number | 4075211595 |
| Mailing Telephone | 4077330705 |
| Mailing Fax Number | 4075211595 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
CL0227470 | FL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487930277 | Phyllis Mccarty Allen | Pharmacist | 7650 West Farmington Blvd, Germantown, TN 38138 | 2011-10-25 |
| 1861830101 | Phyllis A Allen | Dietitian, Registered | 4010 N Main St, Suite 2, Columbia, SC 29203-5848 | 2013-06-10 |
| 1386669638 | Phyllis V Allen | Nurse Practitioner | 1095 Marshall Way, Placerville, CA 95667-5722 | 2006-07-13 |
| Street Address |
5759 EDGEWATER DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32810-5258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708344 | Courtney Anne Bass | Psychologist | 5736 Eggleston Avenue, Orlando, FL 32810 | 2020-10-19 |
| 1598273666 | Taylor Elizabeth Marshall | Behavior Technician | 3701 Maitland Summit Blvd, Orlando, FL 32810 | 2018-01-11 |
| 1962920595 | Sister With Destiny | Adult Companion | 5214 N. O. B. T Apt 103, Orlando, FL 32810 | 2017-09-04 |
| 1710408992 | Denise Lynn Mezquia | Optometrist | 1800 Pembrook Dr Ste 120, Orlando, FL 32810 | 2017-06-28 |
| 1407380603 | Naho Hattori | Student in an Organized Health Care Education/Training Program | 1800 Pembrook Dr Ste 200, Orlando, FL 32810 | 2017-04-13 |
| 1245774801 | Elite Physical Therapy & Health Care Services | Community/Behavioral Health | 5104 North Orange Blossom Trail, Suite 119, Orlando, FL 32810 | 2016-12-15 |
| 1841746518 | Marie Yveline Mauger | Licensed Practical Nurse | 4400 Park Eden Cir, Orlando, FL 32810 | 2016-08-31 |
| 1548619950 | Predestined 4 Purpose Inc | Home Health | 6826 Gadwall Lane, Orlando, FL 32810 | 2016-06-07 |
| 1881058998 | Xuong Vong | Massage Therapist | 9301 Summit Centre Way, Maitland, FL 32810 | 2016-04-06 |
| 1760862726 | Edwin Colon | Case Management | 2660 Environs Blvd, Orlando, FL 32810 | 2015-06-04 |
| Find all providers in zip 32810 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932638426 | Cassandra Carti | Specialist | 12478 Lake Underhill Rd, Orlando, FL 32828-7100 | 2017-06-08 |
| 1275077018 | Mirlande Nelson | Specialist | 501 W Colonial Dr, Orlando, FL 32818 | 2016-12-13 |
| 1003358847 | Suzanna Azor | Specialist | 6520 Metrowest Blvd # 719, Orlando, FL 32835 | 2016-11-10 |
| 1871998682 | Hair Loss Specialists | Specialist | 9917 Hidden River Dr Apt 108, Orlando, FL 32829-8594 | 2014-10-23 |
| 1922178433 | David L Mcmurray | Specialist | 1111 S Division Ave, Orlando, FL 32805-4715 | 2006-11-09 |
| 1801364575 | Pharma Hair Unit LLC | Specialist | 12301 Lake Underhill Rd, Orlando, FL 32828-4508 | 2018-11-11 |
| 1083143713 | Jiselle Louder | Specialist | 12014 E Colonial Dr, Orlando, FL 32826-4750 | 2017-06-06 |
| 1629106950 | Roy E Scudamore | Specialist | 1111 S Division Ave, Orlando, FL 32805-4715 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093337958 | Rasheda Juandrell Tyson | Specialist | 2702 Massachusetts Ave Apt 185, Pensacola, FL 32505-3475 | 2020-05-14 |
| 1285262352 | Narotique Beauty Bar | Specialist | 20401 Nw 2nd Ave Ste 208, Miami, FL 33169-2572 | 2020-04-01 |
| 1710526892 | Tavia Sevon Richards | Specialist | 12414 Touchton Dr Apt 95, Tampa, FL 33617-1544 | 2020-01-06 |
| 1427696905 | Vanessa Lisa Gaspard | Specialist | 355 Ne 159th St, Miami, FL 33162-5007 | 2019-12-16 |
| 1720622798 | Cesar A Brito | Specialist | 744 W Brandon Blvd, Brandon, FL 33511-4902 | 2019-11-03 |
| 1316598303 | Rashawnda Thomas | Specialist | 4110 Sw 34th St Ste 22, Gainesville, FL 32608-6529 | 2019-09-22 |
| 1891352795 | Calandra Sands | Specialist | 801 S Dixie Hwy W Ste 5, Pompano Beach, FL 33060-8263 | 2019-05-26 |
| 1265990865 | Ashley Simone Kitchens | Specialist | 1418 E Busch Blvd, Tampa, FL 33612-8656 | 2019-03-04 |
| 1457819070 | Aramis Tylise Hamilton | Specialist | 1514 S Alexander St Ste 207, Plant City, FL 33563-8418 | 2019-03-04 |
| 1356805642 | Olajide A Wilkerson | Specialist | 540 Nw 165th Street Rd Ste 109, Miami, FL 33169-6304 | 2019-01-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PHYLLIS L ALLEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.