# SOUTHCOAST ALLERGY PA

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

## Provider details

- **NPI number:** 1508954470
- **Authorized official:** ENDRE KOVACS M.D. (OWNER)
- **Authorized official phone:** (850) 279-6520

## Contact information

- **Practice address:** 4400 E HIGHWAY 20, SUITE 501, NICEVILLE, FL 32578-8779
- **Practice address phone:** (850) 279-6520
- **Practice address fax:** (850) 897-1259
- **Mailing address:** 1723 WREN WAY, NICEVILLE, FL 32578-7103
- **Mailing address phone:** (850) 279-6520
- **Mailing address fax:** (850) 897-1259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | ME78816 | FL | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 07/06/2010