Asthma Allergy & Sinus Clinic Pa

LBN: Asthma Allergy & Sinus Clinic Pa
Asthma Allergy & Sinus Clinic Pa is an health care organization with primary practice located at 353 N Clyde Morris Blvd , Daytona Beach FL 32114-2732. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as the primary health care specialty. Asthma Allergy & Sinus Clinic Pa can be contacted via phone (386) 252-6622, or through Di Nicolo, Roberto via phone (386) 252-6622.

Contact Information

Primary practice address
353 N Clyde Morris Blvd Daytona Beach FL 32114-2732
Phone: (386) 252-6622
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Di Nicolo, Roberto Doctor of Medicine (MD)
Phone: (386) 252-6622

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X ME51694 Florida

Profile Details

NPI number 1255460507
LBN Legal business name Asthma Allergy & Sinus Clinic Pa
DBA Doing business as
Authorized official Di Nicolo, Roberto Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2007
Last updated Aug 24th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255460507 NPPES
Florida MEDICAID 257346600

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