Organization
ALL PEDIATRIC CARE, P.A.
Active
Other names
Allergy Asthma & Immunology Center
Organization subpart
No
Provider details
NPI number
Authorized official
IMAD JANDALI MD (PRESIDENT)
(352) 688-0100
Entity
Organization
Contact information
Practice address
225 MARINER BLVD, SPRING HILL, FL 34609
(352) 688-0100
(352) 688-1003
Mailing address
225 MARINER BLVD, SPRING HILL, FL 34609
(352) 688-0100
(352) 688-1003
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
720909
FL
208000000X
Pediatrics Physician
Primary
0052919
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262869400
—
FL
Enumeration date
03/23/2006
Last updated
05/16/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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