Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | ME127288 | FL |
Y | 207RI0011X | Interventional Cardiology | ME127288 | FL |
NPI | 1013141555 |
---|---|
Provider Name | Scott Francis Allen |
First Address | Fort Myers, FL 33907-4539 |
Second Address | Fort Myers, FL 33907-4539 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2009 |
Last Update Date | 02/05/2018 |