Provider Demographics
NPI:1689364879
Name:ALLEN, WILLIAM ALONZO (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ALONZO
Last Name:ALLEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 CLEVELAND ST
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-3211
Mailing Address - Country:US
Mailing Address - Phone:727-447-4255
Mailing Address - Fax:727-449-8198
Practice Address - Street 1:2150 CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-3211
Practice Address - Country:US
Practice Address - Phone:727-447-4255
Practice Address - Fax:727-449-8198
Is Sole Proprietor?:No
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14429111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor