Provider Demographics
NPI:1376985622
Name:SOUTH FLORIDA ALLERGY & ASTHMA SPECIALISTS, P.A.
Entity Type:Organization
Organization Name:SOUTH FLORIDA ALLERGY & ASTHMA SPECIALISTS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:STABILE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-672-7511
Mailing Address - Street 1:5458 TOWN CENTER RD
Mailing Address - Street 2:SUITE 23
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-1009
Mailing Address - Country:US
Mailing Address - Phone:561-672-7511
Mailing Address - Fax:561-287-4566
Practice Address - Street 1:5458 TOWN CENTER RD
Practice Address - Street 2:SUITE 23
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-1009
Practice Address - Country:US
Practice Address - Phone:561-672-7511
Practice Address - Fax:561-287-4566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-26
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty