Organization
ASTHMA AND ALLERGY CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEETA KHARE M.D. (PRESIDENT)
(850) 747-3665
Entity
Organization
Contact information
Practice address
2687 JENKS AVE, PANAMA CITY, FL 32405-4351
(850) 747-3665
Mailing address
2687 JENKS AVE, PANAMA CITY, FL 32405-4351
(850) 747-3665
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267727000
—
FL
Enumeration date
09/17/2006
Last updated
11/05/2012
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