Organization
AAIA- TAMPA BAY LLC
Active
Other names
Allergy, Asthma & Immunology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA DOMINGUEZ (OFFICE ADMINISTRATOR)
(813) 969-0116
Entity
Organization
Contact information
Practice address
3645 MADACA LN, TAMPA, FL 33618-2048
(813) 969-0116
(813) 969-3794
Mailing address
3645 MADACA LN, TAMPA, FL 33618-2048
(813) 969-0116
(813) 969-3794
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260084600
—
FL
Enumeration date
08/05/2006
Last updated
07/07/2022
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