Provider Demographics
NPI:1639135635
Name:PARTNERS IN ALLERGY & ASTHMA CARE PA
Entity Type:Organization
Organization Name:PARTNERS IN ALLERGY & ASTHMA CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PARTNER CO-DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:BARTON
Authorized Official - Last Name:HALSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-681-6537
Mailing Address - Street 1:3658 LITHIA PINECREST RD
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33596-6305
Mailing Address - Country:US
Mailing Address - Phone:813-681-6537
Mailing Address - Fax:813-661-3227
Practice Address - Street 1:3658 LITHIA PINECREST RD
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33596-6305
Practice Address - Country:US
Practice Address - Phone:813-681-6537
Practice Address - Fax:813-661-3227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7866394OtherGROUP AETNA NUMBER
FM265502100Medicaid
FL39774OtherBCBS GROUP NUMBER
FL39774OtherBCBS GROUP NUMBER