Provider Demographics
NPI:1083953475
Name:SCANLON, ALLISON HOPE (PA)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:HOPE
Last Name:SCANLON
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3194 S UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3005
Mailing Address - Country:US
Mailing Address - Phone:954-988-5770
Mailing Address - Fax:
Practice Address - Street 1:3194 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-3005
Practice Address - Country:US
Practice Address - Phone:954-988-5770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-05
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA64943363A00000X
FLPA9117669363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant