Organization
ADVANCED ALLERGY ASTHMA&IMMUNOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYMAN ALIBRAHIM (PRESIDENT)
(352) 746-3336
Entity
Organization
Contact information
Practice address
508 N LECANTO HWY, LECANTO, FL 34461-8547
(352) 746-3336
(352) 746-3305
Mailing address
PO BOX 127, LECANTO, FL 34460-0127
(352) 746-3336
(352) 746-3305
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME86742
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266381301
—
FL
Enumeration date
01/23/2007
Last updated
04/23/2009
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