Gary S. Allen
Cardiothoracic Vascular Surgeon
3120 Waterman Way
Tavares
, Florida 32778-5252
Gary S. Allen
Cardiothoracic Vascular Surgeon
3120 Waterman Way
Tavares
, Florida 32778-5252
(352) 343-1582
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Gary S. Allen
- 3120 Waterman Way
- Tavares, FL
- Zip : 32778-5252
- Fax : (352) 343-1582
- Phone : (352) 343-1216
Second Address
- Gary S. Allen
- 3120 Waterman Way
- Tavares, FL
- Zip : 32778-5252
- Fax : (352) 343-1582
- Phone : (352) 343-1216
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME80476 | FL |
National Provider Identifier
| NPI | 1154327872 |
|---|---|
| Provider Name | Gary S. Allen |
| First Address | Tavares, FL 32778-5252 |
| Second Address | Tavares, FL 32778-5252 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2005 |
| Last Update Date | 25/05/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 258936200 | (05) | FL |
| F71136 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.