Provider Demographics
NPI:1215023247
Name:FOX, ALLAN ROBERT (DO)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:ROBERT
Last Name:FOX
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8895 SE RETREAT DRIVE
Mailing Address - Street 2:
Mailing Address - City:HOBE SOUND
Mailing Address - State:FL
Mailing Address - Zip Code:33455-8905
Mailing Address - Country:US
Mailing Address - Phone:772-545-9371
Mailing Address - Fax:
Practice Address - Street 1:8895 SE RETREAT DRIVE
Practice Address - Street 2:
Practice Address - City:HOBE SOUND
Practice Address - State:FL
Practice Address - Zip Code:33455-8905
Practice Address - Country:US
Practice Address - Phone:772-545-9371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL05002315207ZP0105X
MI5101004351207ZP0105X
PA05000741L207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E49518Medicare UPIN