Organization
BAY AREA ALLERGY & ASTHMA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONA VISHIN MANGAT MD (PRESIDENT)
(727) 327-5719
Entity
Organization
Contact information
Practice address
4965 CENTRAL AVE, ST PETERSBURG, FL 33710-8239
(727) 327-5719
(727) 322-6146
Mailing address
4965 CENTRAL AVE, ST PETERSBURG, FL 33710-8239
(727) 327-5719
(727) 322-6146
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
ME88726
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009866000
—
FL
05
—
270694600
—
FL
Enumeration date
01/31/2007
Last updated
04/17/2014
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