Organization
ALLERGY & ASTHMA SPECIALISTS OF NORTH FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK JOSEPH DEMARCO III MD (PHYSICIAN)
(904) 272-5251
Entity
Organization
Contact information
Practice address
1895 KINGSLEY AVE, SUITE 401, ORANGE PARK, FL 32073-4466
(904) 272-5251
(904) 276-0459
Mailing address
1895 KINGSLEY AVE, SUITE 401, ORANGE PARK, FL 32073-4466
(904) 730-4870
(904) 276-0459
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
ME25318
FL
207K00000X
Allergy & Immunology Physician
Primary
ME86337
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174717276
NPI
FL
01
—
1578598967
INDIVIDUAL NPI
FL
01
—
1730172370
INDIVIDUAL NPI
FL
Enumeration date
01/23/2007
Last updated
06/25/2010
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