Provider Demographics
NPI:1316312770
Name:CALE, ALLISON (NP-C)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:CALE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 W DR MLK BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6302
Mailing Address - Country:US
Mailing Address - Phone:813-876-6483
Mailing Address - Fax:727-350-4195
Practice Address - Street 1:2550 W DR MLK BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6302
Practice Address - Country:US
Practice Address - Phone:813-876-6483
Practice Address - Fax:727-350-4195
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-09
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9324429363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily