Organization
ADVANCED ALLERGY & ASTHMA CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATHA M CHAMARTHY MD (PRESIDENT)
(727) 544-8100
Entity
Organization
Contact information
Practice address
6233 66TH ST NORTH, PINELLAS PARK, FL 33781-5025
(727) 544-8100
(727) 544-8200
Mailing address
6233 66TH ST NORTH, PINELLAS PARK, FL 33781-5025
(727) 544-8100
(727) 544-8200
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207KA0200X
Allergy Physician
Primary
ME65838
FL
207KA0200X
Allergy Physician
—
—
2080P0201X
Pediatric Allergy/Immunology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256994900
—
FL
05
—
256994901
—
FL
Enumeration date
08/16/2006
Last updated
09/16/2022
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