Provider Demographics
NPI:1326455965
Name:ONKALA, ALLISON LYNN (PA-C)
Entity type:Individual
Prefix:MISS
First Name:ALLISON
Middle Name:LYNN
Last Name:ONKALA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11200 SW 128TH AVE
Mailing Address - Street 2:
Mailing Address - City:DUNNELLON
Mailing Address - State:FL
Mailing Address - Zip Code:34432-5432
Mailing Address - Country:US
Mailing Address - Phone:352-322-0926
Mailing Address - Fax:
Practice Address - Street 1:3949 SW COLLEGE RD STE 100
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-5713
Practice Address - Country:US
Practice Address - Phone:352-401-8800
Practice Address - Fax:352-401-8882
Is Sole Proprietor?:No
Enumeration Date:2014-07-15
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9107993363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL012634600Medicaid