Organization
WINDERMERE ALLERGY & ASTHMA,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA L BROUSSARD-PERRY M.D. (PRESIDENT)
(407) 876-1009
Entity
Organization
Contact information
Practice address
8946 CONROY WINDERMERE RD, ORLANDO, FL 32835-3128
(407) 876-1009
(407) 876-6742
Mailing address
8946 CONROY WINDERMERE RD, ORLANDO, FL 32835-3128
(407) 876-1009
(407) 876-6742
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME68693
FL
Other
Enumeration date
03/26/2007
Last updated
11/02/2011
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