Provider Demographics
NPI:1700660222
Name:ALLERGY AND ASTHMA CARE OF FLORIDA, INC.
Entity Type:Organization
Organization Name:ALLERGY AND ASTHMA CARE OF FLORIDA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LORA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MARRS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-622-1126
Mailing Address - Street 1:1740 SE 18TH ST STE 1002
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5447
Mailing Address - Country:US
Mailing Address - Phone:352-622-1126
Mailing Address - Fax:
Practice Address - Street 1:8245 COUNTY ROAD 44 LEG A STE 1
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34788-3751
Practice Address - Country:US
Practice Address - Phone:352-314-2929
Practice Address - Fax:352-314-9747
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLERGY AND ASTHMA CARE OF FLORIDA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty