Provider Demographics
NPI:1548755408
Name:ALLEN, DANIEL JAMES (PA-C)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:JAMES
Last Name:ALLEN
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:5980 SW 117TH LANE RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-8685
Mailing Address - Country:US
Mailing Address - Phone:614-439-6437
Mailing Address - Fax:
Practice Address - Street 1:1714 SW 17TH ST STE 200
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-1227
Practice Address - Country:US
Practice Address - Phone:352-877-3360
Practice Address - Fax:866-552-4890
Is Sole Proprietor?:No
Enumeration Date:2018-06-24
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
363A00000X
FLPA9111366363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant