# ASTHMA ALLERGY & SINUS CLINIC PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255460507
- **Authorized official:** DR. ROBERTO DI NICOLO MD (DIRECTOR)
- **Authorized official phone:** (386) 252-6622

## Contact information

- **Practice address:** 353 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2732
- **Practice address phone:** (386) 252-6622
- **Mailing address:** 353 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2732
- **Mailing address phone:** (386) 252-6622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | ME51694 | FL | Yes |

## Other

- **Enumeration date:** 03/04/2007
- **Last updated:** 08/24/2010