Hart, Alison

Hart, Alison is an individual health care provider with primary practice located at 1865 Lpga Blvd , Daytona Beach FL 32117-7108. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Hart, Alison can be contacted via phone (386) 255-4596.

Contact Information

Primary practice address
1865 Lpga Blvd Daytona Beach FL 32117-7108
Phone: (386) 255-4596
Fax: (386) 257-0558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00818 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9116050 Florida

Profile Details

NPI number 1649651779
LBN Legal business name Hart, Alison
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2015
Last updated Nov 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649651779 NPPES
Florida MEDICAID 115340000

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