Provider Demographics
NPI:1255395372
Name:FINKELSTEIN, ALLEN (DO)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:
Last Name:FINKELSTEIN
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 1:10225 ULMERTON RD
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-3538
Mailing Address - Country:US
Mailing Address - Phone:727-581-4849
Mailing Address - Fax:727-584-7429
Practice Address - Street 1:10225 ULMERTON RD
Practice Address - Street 2:1A
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-3538
Practice Address - Country:US
Practice Address - Phone:727-585-7408
Practice Address - Fax:727-585-3483
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS4405207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL067200900Medicaid
FL82461OtherBLUE CROSS BLUE SHIELD
FL82461OtherBLUE CROSS BLUE SHIELD