List, Alan

List, Alan is an individual health care provider with primary practice located at 12902 Usf Magnolia Dr Mdc 44, Tampa FL 33612-9416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. List, Alan can be contacted via phone (813) 745-3980.

Contact Information

Primary practice address
12902 Usf Magnolia Dr Mdc 44 Tampa FL 33612-9416
Phone: (813) 745-3980
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X ME93632 Florida

Profile Details

NPI number 1710908314
LBN Legal business name List, Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jan 24th, 2008 - about 17 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 1710908314 NPPES
Florida Other 37554 BLUE CROSS BLUE SHIELD
Florida MEDICAID 268977400 BLUE CROSS BLUE SHIELD

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