Organization
ALLERGY AND IMMUNOLOGY CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASSEM GEORGE CHAHINE MD (PRESIDENT)
(305) 270-1073
Entity
Organization
Contact information
Practice address
8740 N KENDALL DR, SUITE 215, MIAMI, FL 33176-2212
(305) 270-1073
(866) 982-8070
Mailing address
8740 N KENDALL DR, SUITE 215, MIAMI, FL 33176-2212
(305) 270-1073
(866) 982-8070
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME98543
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0508A
MEDICARE PTAN
FL
05
—
PENDING
—
FL
Enumeration date
06/18/2010
Last updated
11/04/2010
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