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
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