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ASTHMA ALLERGY & SINUS CLINIC PA NPI 1255460507


NPI Information

NPI: 1255460507
Provider Name: ASTHMA ALLERGY & SINUS CLINIC PA
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
353 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL
ZIP 32114
Phone: (386) 252-6622
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ASTHMA ALLERGY & SINUS CLINIC PA is an allergy immunology in Daytona Beach, FL. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. ASTHMA ALLERGY & SINUS CLINIC PA NPI is 1255460507. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

353 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL
ZIP 32114-732
Phone: (386) 252-6622

The provider's authorized official is Roberto Di Nicolo .
The authorized official title is Director and has the following contact phone number (386) 252-6622.

The enumeration date for this NPI number is 3/4/2007 and was last updated on 8/24/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207K00000XAllergy & ImmunologyME51694FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
112783MEDICARE PIN
2E-95703MEDICARE UPINFLORIDA
312783MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
4257346600MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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