Allied Health Provider LLC

NPI #1528557394 in Fort Lauderdale, Florida

Provider Information

NPI Number: 1528557394
Entity Type: Organization
Organization Name: Allied Health Provider LLC
Primary Specialty: Physician Assistant
Enumeration Date: May 7, 2018
Last Updated: May 7, 2018

Practice Location

Address: 1625 NE 3RD CT
City: Fort Lauderdale
State: Florida
ZIP Code: 33301-3808
Phone: (305) 989-7291

Authorized Official

Name: DIANA MARTINEZ, PA-C
Title: OWNER / PROVIDER
Phone: (305) 989-7291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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