Provider Demographics
NPI:1275584146
Name:ALLERGY ASTHMA IMMUNOLOGY ASSOCIATES PA
Entity Type:Organization
Organization Name:ALLERGY ASTHMA IMMUNOLOGY ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NAVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMSAHAI
Authorized Official - Suffix:
Authorized Official - Credentials:MGMT
Authorized Official - Phone:904-733-8230
Mailing Address - Street 1:3636 UNIVERSITY BLVD S
Mailing Address - Street 2:SUITE B-2
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-4250
Mailing Address - Country:US
Mailing Address - Phone:904-733-8660
Mailing Address - Fax:
Practice Address - Street 1:3636 UNIVERSITY BLVD S
Practice Address - Street 2:SUITE B-2
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-4250
Practice Address - Country:US
Practice Address - Phone:904-733-8660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2020-08-22
Deactivation Date:2006-05-18
Deactivation Code:
Reactivation Date:2006-05-18
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory ImmunologyGroup - Single Specialty