# ALLERGY SPECIALISTS OF PALM BEACHES

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

## Provider details

- **NPI number:** 1962774018
- **Authorized official:** DR. TANUJA TIRUNAGARI VEDERE MD (PHYSICIAN OWNER)
- **Authorized official phone:** (772) 335-7888

## Contact information

- **Practice address:** 1801 SE HILLMOOR DR, C107, PORT ST LUCIE, FL 34952-7553
- **Practice address phone:** (772) 335-7888
- **Practice address fax:** (772) 335-0331
- **Mailing address:** PO BOX 30425, PALM BEACH GARDENS, FL 33420-0425
- **Mailing address phone:** (772) 335-7888
- **Mailing address fax:** (772) 335-0331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | ME76026 | FL | Yes |

## Other

- **Enumeration date:** 02/06/2012
- **Last updated:** 02/06/2012