Organization
ASTHMA & ALLERGY DIAGNOSTIC & TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE L BUSSELL (BILLING MANAGER)
(850) 386-6680
Entity
Organization
Contact information
Practice address
2300 CENTERVILLE RD, TALLAHASSEE, FL 32308-4355
(850) 386-6680
(850) 386-7902
Mailing address
2300 CENTERVILLE RD, TALLAHASSEE, FL 32308-4355
(850) 386-6680
(850) 386-7902
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME55004
FL
Other
Enumeration date
03/08/2007
Last updated
06/29/2011
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