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Organization
SOUTHCOAST ALLERGY PA
Active
Organization
SOUTHCOAST ALLERGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENDRE KOVACS M.D. (OWNER)
(850) 279-6520
Entity
Organization
Contact information
Practice address
4400 E HIGHWAY 20, SUITE 501, NICEVILLE, FL 32578-8779
(850) 279-6520
(850) 897-1259
Mailing address
1723 WREN WAY, NICEVILLE, FL 32578-7103
(850) 279-6520
(850) 897-1259
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME78816
FL
Other
Enumeration date
10/10/2006
Last updated
07/06/2010
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