Allergy Specialty Care Pa

NPI 1104141118 - Specialist - 174400000X

NPI Details
NPI 1104141118
Enumeration Date 04/01/2010
Last Updated 04/01/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name DENISE DENISE
Position INSURANCE BILLING MANAGER
Phone (386) 961-9809
Fax (386) 961-8311
Practice Location
213 SW MAIN BLVD
LAKE CITY FL, 32025-7001, US
Phone (386) 961-9809
Fax (386) 961-8311
Business Location
213 SW MAIN BLVD
LAKE CITY FL, 32025-7001, US
Phone (386) 961-9809
Fax (386) 961-8311
Toxanomy
Taxonomy Code 174400000X
License State Florida
License Number PA2020
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According to our database, Allergy Specialty Care Pa NPI is 1104141118, taxonomy code is 174400000X and license number is PA2020, license state is located at Florida. Allergy Specialty Care Pa physically located at 213 Sw Main Blvd, Lake City FL, 32025-7001. NPI Number 1033115704 has the healthcare provider type.

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1104141118 NPI number is provided on an as is basis without warranty of any kind. 1104141118 is maintained by the National Plan & Provider Enumeration System. The contents of Allergy Specialty Care Pa are for informational purposes only.