Provider Demographics
NPI:1073695730
Name:ROBERSON ALLERGY AND ASTHMA, INC.
Entity Type:Organization
Organization Name:ROBERSON ALLERGY AND ASTHMA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARMODY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-655-4450
Mailing Address - Street 1:1411 N FLAGLER DR STE 3000
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3425
Mailing Address - Country:US
Mailing Address - Phone:561-655-4450
Mailing Address - Fax:561-655-4469
Practice Address - Street 1:1411 N FLAGLER DR
Practice Address - Street 2:SUITE #6100
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3404
Practice Address - Country:US
Practice Address - Phone:561-655-4450
Practice Address - Fax:561-655-4469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME9904207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty