Organization
ALLERGY SPECIALTY CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE CONE (INSURANCE BILLING MANAGER)
(386) 961-9809
Entity
Organization
Contact information
Practice address
213 SW MAIN BLVD, LAKE CITY, FL 32025-7001
(386) 961-9809
(386) 961-8311
Mailing address
213 SW MAIN BLVD, LAKE CITY, FL 32025-7001
(386) 961-9809
(386) 961-8311
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PA2020
FL
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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