Provider Demographics
NPI:1154367654
Name:ALLERGY AND ASTHMA CARE OF FLORIDA INC
Entity type:Organization
Organization Name:ALLERGY AND ASTHMA CARE OF FLORIDA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MARRS
Authorized Official - Suffix:
Authorized Official - Credentials:CPC, CPPM
Authorized Official - Phone:352-622-1126
Mailing Address - Street 1:1740 SE 18TH ST
Mailing Address - Street 2:SUITE 1002
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5408
Mailing Address - Country:US
Mailing Address - Phone:352-622-1126
Mailing Address - Fax:352-622-2391
Practice Address - Street 1:1740 SE 18TH ST
Practice Address - Street 2:SUITE 1002
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5408
Practice Address - Country:US
Practice Address - Phone:352-622-1126
Practice Address - Fax:352-622-2391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL24708Medicare PIN