Southcoast Allergy Pa in Niceville - Allergy & Immunology

Southcoast Allergy Pa - NPI 1508954470

Southcoast Allergy Pa is a Allergy & Immunology in Niceville, Florida. Southcoast Allergy Pa practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Southcoast Allergy Pa is 1508954470. The last update date is 2010-07-06.

Southcoast Allergy Pa's current location address is 1723 Wren Way, Niceville, Florida. You can contact this provider via phone number 8502796520 and fax number 8508971259. The mailing address for Southcoast Allergy Pa is 1723 Wren Way, Niceville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southcoast Allergy Pa
Address 1723 Wren Way, Niceville, Florida
Phone Number 8502796520
Fax Number 8508971259
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Kovacs Endre
Credentials M.D.
Telephone Number 8502796520

NPI Number Detail

NPI Number 1508954470
Provider Enumeration Date 2006-10-10
Last Updated Date 2010-07-06

Provider Mailing Address Detail

Address 1723 Wren Way
City Niceville
State Florida (FL)
Post Code 325787103
Phone Number 8502796520
Fax Number 8508971259

Provider's Primary Taxonomy Detail

Speciality Allergy & Immunology
Taxonomy 207K00000X
Licence No ME78816
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ME78816 FL DR.S MEDICAL LICENSE

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FAQs about Southcoast Allergy Pa

What is the unique provider identifier assigned to Southcoast Allergy Pa?

The Southcoast Allergy Pa has been issued the NPI (National Provider Identifier) 1508954470 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Southcoast Allergy Pa is physically located?

The Southcoast Allergy Pa is situated at the following address: 1723 Wren Way, Niceville, FL 325787103.

What is the area of specialization for Southcoast Allergy Pa, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Southcoast Allergy Pa is Allergy & Immunology, and the corresponding taxonomy code that categorizes this area of expertise is 207K00000X.

On what date did the Southcoast Allergy Pa receive its 1508954470 assignment from the Centers for Medicare & Medicaid Services?

The Southcoast Allergy Pa was assigned its 1508954470 by the Centers for Medicare & Medicaid Services on 2006-10-10.

When was the information regarding Southcoast Allergy Pa most recently updated?

The details pertaining to the Southcoast Allergy Pa, including its address, specialty, and other relevant information, were last refreshed on 2010-07-06.

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