# ADVANCED ALLERGY ASTHMA&IMMUNOLOGY

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

## Provider details

- **NPI number:** 1811041064
- **Authorized official:** AYMAN ALIBRAHIM (PRESIDENT)
- **Authorized official phone:** (352) 746-3336

## Contact information

- **Practice address:** 508 N LECANTO HWY, LECANTO, FL 34461-8547
- **Practice address phone:** (352) 746-3336
- **Practice address fax:** (352) 746-3305
- **Mailing address:** PO BOX 127, LECANTO, FL 34460-0127
- **Mailing address phone:** (352) 746-3336
- **Mailing address fax:** (352) 746-3305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | ME86742 | FL | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 04/23/2009