Basic Information
| Provider Information | |||||||||
| NPI: | 1295815819 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALLEN | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | K | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6843 149TH PL N | ||||||||
| Address2: | |||||||||
| City: | WEST PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334181936 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5616249726 | ||||||||
| FaxNumber: | 5616244775 | ||||||||
| Practice Location | |||||||||
| Address1: | 12959 PALMS WEST DR | ||||||||
| Address2: | #230 | ||||||||
| City: | LOXAHATCHEE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334704937 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5617902258 | ||||||||
| FaxNumber: | 5617917489 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/17/2006 | ||||||||
| LastUpdateDate: | 08/30/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | PA1839 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.