Provider Demographics
NPI:1154575942
Name:ADVANCED ALLERGY, ASTHMA & SINUS CARE, P.A.
Entity type:Organization
Organization Name:ADVANCED ALLERGY, ASTHMA & SINUS CARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEAN-PAUL
Authorized Official - Middle Name:ELIAS
Authorized Official - Last Name:AZZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-627-6277
Mailing Address - Street 1:4495 MILITARY TRL STE 202
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-4818
Mailing Address - Country:US
Mailing Address - Phone:561-627-6277
Mailing Address - Fax:561-626-6277
Practice Address - Street 1:4495 MILITARY TRL
Practice Address - Street 2:SUITE 202
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458
Practice Address - Country:US
Practice Address - Phone:561-627-6277
Practice Address - Fax:561-626-6277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-06
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME117560207YS0123X
207YX0602X
FLARNP2508082363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic AllergyGroup - Multi-Specialty
No207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic SurgeryGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty