# TALLAHASSEE ALLERGY, ASTHMA & IMMUNOLOGY, LLC

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

## Provider details

- **NPI number:** 1285648683
- **Authorized official:** BRIAN GUY WILSON M.D. (OWNER)
- **Authorized official phone:** (850) 656-7720

## Contact information

- **Practice address:** 2619 CENTENNIAL BLVD STE 103, TALLAHASSEE, FL 32308-0590
- **Practice address phone:** (850) 656-7720
- **Practice address fax:** (850) 656-7729
- **Mailing address:** PO BOX 13058, TALLAHASSEE, FL 32317-3058
- **Mailing address phone:** (850) 656-7720
- **Mailing address fax:** (850) 656-7729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | ME82516 | FL | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 05/02/2011