Individual
MRS. AMI K DEGALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33920 US HIGHWAY 19N SUITE 341, PALM HARBOR, FL 34684
(727) 787-6744
(727) 786-3561
Mailing address
33920 US HIGHWAY 19N SUITE 341, PALM HARBOR, FL 34684
(727) 787-6744
(727) 786-3561
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
4301077626
MI
207K00000X
Allergy & Immunology Physician
ME 114793
FL
207KA0200X
Allergy Physician
Primary
ME114793
FL
2080P0201X
Pediatric Allergy/Immunology Physician
ME114793
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104605600
—
FL
Enumeration date
02/22/2006
Last updated
03/30/2023
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