# ALLERGY & ASTHMA CENTER OF NORTHWEST FLORIDA PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALLERGY & ASTHMA CENTER OF NORTHWEST FLORIDA PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861271819
- **Legal business name:** ALLERGY & ASTHMA CENTER OF NORTHWEST FLORIDA PA
- **Authorized official:** LILY FLYNN (RCM BUSINESS PARTNER)
- **Authorized official phone:** (469) 209-8355

## Contact information

- **Practice address:** 2441 US HIGHWAY 98 W STE 103, SANTA ROSA BEACH, FL 32459-5386
- **Practice address phone:** (805) 473-1121
- **Practice address fax:** (850) 473-1122
- **Mailing address:** 6160 N DAVIS HWY STE 3, PENSACOLA, FL 32504-6967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2023
- **Last updated:** 09/27/2023