Individual provider · NPI-1

Gary Allen, DO, ATC

Family Medicine, Sports Medicine · Pensacola, FL

NPI number1427410976
StatusActive
Last updated in NPPESAug 7, 2020

Details

NPI
1427410976
Entity type
Individual (NPI-1)
Name
Gary Allen
Credential
DO, ATC
Sex
Male
Sole proprietor
No
Enumeration date
Mar 23, 2016
Certification date
Aug 7, 2020
Last updated
Aug 7, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QS0010X Family Medicine, Sports MedicineOS15595FLYes

Practice location

4521 N Davis Hwy
Pensacola, FL 32503-2770

Phone 850-494-9002

Mailing address

1707 N Main St
Gainesville, FL 32609-3650

Phone 352-265-9592

Other practice locations

280 Fletcher Dr
Gainesville, FL 32611-3650

Phone 352-294-7384

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