Organization
ASTHMA ALLERGY CARE CENTER PL
Active
Parent organization
ASTHMA ALLERGY CARE CENTER PL
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASTHMA ALLERGY CARE CENTER PL
Authorized official
RAJESH KACHARALAL PATEL M.D. (OWNER)
(407) 804-6002
Entity
Organization
Contact information
Practice address
1301, S. INTERNATIONAL PARKWAY, SUITE 1011, LAKE MARY, FL 32746-1410
(407) 804-6002
(407) 804-8777
Mailing address
1301, S. INTERNATIONAL PARKWAY, SUITE 1011, LAKE MARY, FL 32746-1410
(407) 804-6002
(407) 804-8777
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
ME0062618
FL
207KA0200X
Allergy Physician
Primary
ME0062618
FL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
ME0062618
FL
2080P0201X
Pediatric Allergy/Immunology Physician
ME0062618
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378852100
—
FL
Enumeration date
05/09/2006
Last updated
12/22/2020
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